Individual
KELLY KLINE-CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN,CD,CNSC
Contact information
Practice address
320 E 600 S, INTERMOUNTAIN MEDICAL GROUP, ST GEORGE, UT 84770-3949
(435) 688-4850
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 635-6500
(435) 635-6549
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
803082
UT
133V00000X
Registered Dietitian
Primary
9461538-4901
UT
Other
Enumeration date
08/06/2015
Last updated
08/20/2015
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