Individual
KELLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 STONEHEIGHTS DR, WATERFORD, CT 06385-1951
(203) 988-1267
Mailing address
169 STONEHEIGHTS DR, WATERFORD, CT 06385-1951
(203) 988-1267
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1267
NH
133V00000X
Registered Dietitian
1582
CT
133V00000X
Registered Dietitian
LDN01188
RI
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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