Individual
CHELSEA CORSO KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
15 MIDDLE POND LN, SOUTHAMPTON, NY 11968-4343
(914) 879-5786
Mailing address
15 MIDDLE POND LN, SOUTHAMPTON, NY 11968-4343
(914) 760-8890
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NY
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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