Individual
MRS. KELLY GREENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNTP, MRWP
Contact information
Practice address
123 S THIRD AVE STE 6, SANDPOINT, ID 83864-1358
(208) 290-8856
Mailing address
123 S THIRD AVE STE 6, SANDPOINT, ID 83864-1358
(208) 290-8856
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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