Individual
KELLY MARIE LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
PALMETTO HEALTH RICHLAND, 3301 HARDEN STREET 5 MEDICAL PARK, COULMBIA, SC 29203
(803) 296-2548
(803) 296-2525
Mailing address
PALMETTO HEALTH, 1321 LADY STREET 1ST FLOOR, COLUMBIA, SC 29201
(803) 296-2548
(803) 296-2525
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
809431
SC
Other
Enumeration date
06/16/2006
Last updated
07/09/2007
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