Individual
KELLY MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CSG, LD
Contact information
Practice address
1 S PARK CIR STE 101, CHARLESTON, SC 29407-4625
(843) 953-1268
Mailing address
1 S PARK CIR STE 101, CHARLESTON, SC 29407-4625
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1041049
SC
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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