Individual
KELLY CURRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
117 TOMA HAWK DR, GREENVILLE, TX 75402-2802
(936) 355-5334
Mailing address
117 TOMA HAWK DR, GREENVILLE, TX 75402-2802
(936) 355-5334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83856
TX
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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