Individual
MRS. KELLEE ANN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
775 SUNSET BLVD, O FALLON, IL 62269-1960
(618) 589-9051
Mailing address
775 SUNSET BLVD, OFALLON, IL 62269
(618) 589-9051
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004270
IL
Other
Enumeration date
04/09/2009
Last updated
01/06/2022
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