Individual
KELLY GRACE ALDRICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
6717 E 2ND ST, STE. D, PRESCOTT VALLEY, AZ 86314-2659
(928) 771-3560
(928) 771-3542
Mailing address
6717 E 2ND ST, STE. D, PRESCOTT VALLEY, AZ 86314-2659
(928) 771-3560
(928) 771-3542
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
853106
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
709701
—
AZ
Enumeration date
08/09/2005
Last updated
07/08/2007
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