Organization
JULIE KENNEDY NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KENNEDY MPH, MED, RDN, LDN (OWNER, REGISTERED DIETITIAN)
(984) 221-8101
Entity
Organization
Contact information
Practice address
113 MIDDLEGREEN PL, HOLLY SPRINGS, NC 27540-5524
(984) 221-8101
(866) 499-1886
Mailing address
113 MIDDLEGREEN PL, HOLLY SPRINGS, NC 27540-5524
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326507955
REGISTERED DIETITIAN
NC
Enumeration date
05/14/2019
Last updated
05/14/2019
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