Individual
MS. KELLEY E DEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6000
(203) 382-9425
Mailing address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6000
(203) 382-9425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001113
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236130
—
CT
Enumeration date
07/23/2012
Last updated
07/24/2012
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