Individual
DR. KELLY POTYSMAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DCN, RD, LD, FNAP
Contact information
Practice address
1304 GREENLEAF DR, ALEDO, TX 76008-2840
(817) 846-3104
Mailing address
1304 GREENLEAF DR, ALEDO, TX 76008-2840
(817) 846-3104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81572
TX
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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