Organization
KW REGISTERED DIETITIAN NUTRITIONIST P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEELY WILCHER (RD)
(601) 594-8457
Entity
Organization
Contact information
Practice address
1840 MIDWAY RD, CARTHAGE, MS 39051-7404
(601) 594-8457
Mailing address
1843 MIDWAY RD, CARTHAGE, MS 39051-7519
(601) 594-8457
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/20/2024
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