Individual
MS. JENNA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-8827
Mailing address
819 VIRGINIA ST UNIT 2504, SEATTLE, WA 98101-4429
(262) 951-8443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4048
MA
133VN1004X
Pediatric Nutrition Registered Dietitian
4048
MA
Other
Enumeration date
03/31/2016
Last updated
03/07/2018
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