Individual
KELLY MANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-1671
Mailing address
3868 MAPLE HILL RD, HIBBING, MN 55746-8340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
958365
MN
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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