Individual
MRS. SANDRA LYNN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-0499
(901) 595-3202
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-0499
(901) 595-3202
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
975125
TN
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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