Individual
CHELSEA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
125 S 20TH ST, PADUCAH, KY 42001-7100
(270) 408-1584
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
168121
KY
Other
Enumeration date
12/20/2016
Last updated
01/11/2024
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