Individual
KELLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 RICHARD AVE, METHUEN, MA 01844-2809
(413) 461-6679
Mailing address
2 RICHARD AVE, METHUEN, MA 01844-2809
(413) 461-6679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4412
MA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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