Individual
KELSEY BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MFN
Contact information
Practice address
2150 N REIMAN RD, GENOA, OH 43430-9752
(419) 349-1428
Mailing address
2150 N REIMAN RD, GENOA, OH 43430-9752
(419) 349-1428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10842
OH
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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