Individual
KELLY TYREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
408 VEDRA CT, HIGH POINT, NC 27265-8625
(336) 847-5885
Mailing address
408 VEDRA CT, HIGH POINT, NC 27265-8625
(336) 847-5885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001705
NC
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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