Individual
NATHANIEL SHERWOOD KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
420 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(338) 993-1618
Mailing address
1114 VALLEY PARK DR, CHAPEL HILL, NC 27514-3325
(919) 636-2793
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003950
NC
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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