Individual
KELLY GUDENKAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3500 DODGE ST, 1159 HY-VEE, DUBUQUE, IA 52003-5261
(563) 583-5204
Mailing address
2309 DEVINE ST, SIMPLY NUTRITION, COLUMBIA, SC 29205-2422
(803) 814-5392
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
083269
IA
133V00000X
Registered Dietitian
Primary
1594
SC
Other
Enumeration date
07/13/2016
Last updated
03/09/2017
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