Individual
KELLIE BUCKLEY MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3102 AVENUE D, SCOTTSBLUFF, NE 69361-4300
(308) 632-6236
Mailing address
40702 COUNTY ROAD 26, SCOTTSBLUFF, NE 69361-6912
(308) 765-0997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
640373
NE
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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