Individual
MRS. KELLY JEAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6852 S 220TH ST, KENT, WA 98032-1963
(253) 872-3460
(888) 599-3448
Mailing address
6852 S 220TH ST, KENT, WA 98032-1963
(253) 872-3460
(888) 599-3448
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00722076
WA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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