Individual
KAITLIN KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
686 W 810 S, LOGAN, UT 84321-8701
(435) 512-4297
Mailing address
686 W 810 S, LOGAN, UT 84321-8701
(435) 512-4297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8610657
UT
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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