Individual
KENNA LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFN, RD, LD
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1199
Mailing address
7145 STARCLIFF AVE NW APT 3, NORTH CANTON, OH 44720-6276
(567) 230-2676
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.10344
OH
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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