Individual
KELSEY HAECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
5100 W GENESEE ST, CAMILLUS, NY 13031-2354
(315) 401-0054
Mailing address
9305 SHADY LAKE DR APT 204, STREETSBORO, OH 44241-4530
(937) 286-1204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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