Individual
KELVIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CDN
Contact information
Practice address
800 HOOPER RD, ENDWELL, NY 13760-1560
(607) 757-0444
(607) 748-8984
Mailing address
33 LEWIS RD, 2ND FLOOR, BINGHAMTON, NY 13905-1048
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
007771
NY
Other
Enumeration date
06/12/2015
Last updated
12/10/2016
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