Individual
KELSEY MARIE MCCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2598 MAIN ST, MORRO BAY, CA 93442-1553
(805) 225-7302
Mailing address
2450 VICTORIA AVE UNIT 101, SAN LUIS OBISPO, CA 93401-5758
(702) 553-5579
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86074251
CA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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