Individual
KELLY FRAZIER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1656 HODGES ST, JENA, LA 71342-4312
(318) 229-5486
Mailing address
1656 HODGES ST, JENA, LA 71342-4312
(318) 229-5486
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1252
LA
133V00000X
Registered Dietitian
LD007556
GA
133V00000X
Registered Dietitian
ND14069
FL
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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