Individual
KATLYN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 593-1100
(585) 596-2055
Mailing address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 593-1100
(585) 596-2055
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
009899
NY
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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