Individual
KELLY BROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 245-8978
Mailing address
231 W 25TH ST APT 6G, NEW YORK, NY 10001-7173
(443) 370-8833
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010840
NY
Other
Enumeration date
04/28/2023
Last updated
05/01/2023
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