Individual
KELLI W VACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, LD
Contact information
Practice address
990 IH 10 N, SUITE 215, BEAUMONT, TX 77702-1051
(409) 454-0417
Mailing address
990 IH 10 N, SUITE 215, BEAUMONT, TX 77702-1051
(409) 454-0417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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