Individual
CARRIE J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 487-4600
Mailing address
9 BAKER CT, RAMSEY, NJ 07446-2107
(201) 962-2183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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