Individual
KELLI JO DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
4839 FISHER CORINTH RD, FARMDALE, OH 44417-9601
(330) 240-5240
Mailing address
PO BOX 302, CORTLAND, OH 44410-0302
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5480
OH
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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