Individual
KELSEY LEEB, MS, RD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 E 81ST AVE, MERRILLVILLE, IN 46410-5538
(248) 217-6986
Mailing address
8412 POLO CLUB DR, H206, MERRILLVILLE, IN 46410-8429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86055411
IN
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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