Individual
KELLY KATHARINA BANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
460 POLARIS PKWY STE 200, WESTERVILLE, OH 43082-8213
(740) 845-7327
Mailing address
460 POLARIS PKWY STE 200, WESTERVILLE, OH 43082-8213
(614) 797-0547
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.10019
OH
Other
Enumeration date
01/05/2023
Last updated
10/02/2025
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