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Individual

KELCIE M ATKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
10085 DOUBLE R BLVD STE 325, RENO, NV 89521
(775) 982-5073
(775) 982-3958
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-4590
(775) 982-4595

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
36556DI-1
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13655495
CAQH
NV
Enumeration date
01/06/2015
Last updated
06/05/2018
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