Individual
KELLI GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
Mailing address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5006
OH
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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