Organization
KIDNEY CARE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY GULLEY MS, MPP, RDN (REGISTERED DIETITIAN)
(312) 515-9398
Entity
Organization
Contact information
Practice address
11497 NORWAY DR, HARTLAND, MI 48353-3436
(312) 515-9398
Mailing address
11497 NORWAY DR, HARTLAND, MI 48353-3436
(312) 515-9398
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/05/2024
Last updated
10/05/2024
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