Individual
KELLY ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0499
Mailing address
5490 OXBOW DR, CROZET, VA 22932-2704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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