Individual
MRS. KELSEY DIANE WEEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
10400 MALLARD CREEK CHURCH ROAD, SUITE 340, CHARLOTTE, NC 28262
(678) 773-1955
Mailing address
513 WEBSTER PL, CHARLOTTE, NC 28209-2336
(678) 773-1955
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1047000
NC
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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