Individual
MRS. KELLY RENEE SECOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFN, RD, LDN
Contact information
Practice address
8380 SIX FORKS RD, RALEIGH, NC 27615-5081
(919) 896-8520
Mailing address
8380 SIX FORKS RD, RALEIGH, NC 27615-5081
(919) 896-8520
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004131
NC
Other
Enumeration date
09/22/2013
Last updated
09/22/2013
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