Individual
MS. KELLY HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-7101
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-7101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48 008113
NY
Other
Enumeration date
07/11/2014
Last updated
05/31/2023
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