Individual
MRS. KELSEY BROOKE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5540
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012782-01
NY
Other
Enumeration date
06/03/2025
Last updated
04/03/2026
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