Individual
KELLY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
428 E 4TH ST, CHARLOTTE, NC 28202-2434
(704) 380-4655
Mailing address
9613 WATERGATE RD, CHARLOTTE, NC 28270-2107
(321) 704-9391
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006474
NC
Other
Enumeration date
08/25/2021
Last updated
08/11/2023
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