Organization
KIWELL NUTRITION CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY RAFFETY KENNETT RD (OWNER, DIETITIAN)
(641) 990-8910
Entity
Organization
Contact information
Practice address
1721 N PHILIP ST APT A, PHILADELPHIA, PA 19122-3160
(641) 990-8910
Mailing address
1721 N PHILIP ST APT A, PHILADELPHIA, PA 19122-3160
(641) 990-8910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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