Individual
ELLA KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 FAYMONT AVE, MANHATTAN BEACH, CA 90266-4105
(360) 791-2968
Mailing address
1909 FAYMONT AVE, MANHATTAN BEACH, CA 90266-4105
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045302
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/06/2021
Last updated
06/06/2021
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