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Individual

KELLY CLEERDIN BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
Mailing address
171 9TH DR, VERO BEACH, FL 32962-2815

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD007209
FL
133V00000X
Registered Dietitian
Primary
LD007209
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LD007209
GEORGIA STATE DIETITIAN LICENSE
GA
01
ND8504
FLORIDA STATE DIETITIAN LICENSE
FL
Enumeration date
01/29/2020
Last updated
08/23/2025
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