Individual
KELSEY RIESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8 MYRTLE AVE, WESTPORT, CT 06880-3511
(203) 916-4673
Mailing address
41 CORTLAND DR, TOLLAND, CT 06084-2157
(860) 944-5590
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1717
CT
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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