Individual
MRS. DORIS ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
719 JADWIN AVE, SUITE 7, RICHLAND, WA 99352-4217
(509) 943-0414
Mailing address
PO BOX 635, RICHLAND, WA 99352-0635
(509) 943-0414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000116
WA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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