Individual
MRS. KELSEY LORRAINE BERNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, LMT
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1022
ID
225700000X
Massage Therapist
MAS-403
ID
Other
Enumeration date
01/20/2011
Last updated
02/21/2023
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