Individual
KELLY R MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00651
RI
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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