Individual
ALEXIS G KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
6401 S WEST SHORE BLVD, TAMPA, FL 33616-2912
(813) 421-5302
Mailing address
6401 S WEST SHORE BLVD, TAMPA, FL 33616-2912
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86329948
FL
Other
Enumeration date
05/09/2024
Last updated
04/21/2026
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