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Individual

MRS. KELLY KRISTINE CHANAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
1713 PEPPERWOOD CT, GARDEN CITY, KS 67846-3775
(620) 275-4794
Mailing address
1713 PEPPERWOOD CT, GARDEN CITY, KS 67846-3775
(620) 275-4794

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
964
KS
133V00000X
Registered Dietitian
ND4711
FL

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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