Individual
MS. KELLY BARNABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1 MEDICAL CENTER DR, HEART FAILURE AND CARDIOMYOPATHY PROGRAM, LEBANON, NH 03756-1000
(603) 650-2929
(603) 650-0607
Mailing address
1 MEDICAL CENTER DR, HEART FAILURE AND CARDIOMYOPATHY PROGRAM, LEBANON, NH 03756-0001
(603) 650-2929
(603) 650-0607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0559
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0559
NH LICENSE NUMBER
NH
01
—
966567
REGISTRATION NUMBER
NH
Enumeration date
12/08/2009
Last updated
12/08/2009
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