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Individual

KELSEY D CABALLERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 922-1268
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133V00000X
Registered Dietitian
Primary
86013022
AZ
133V00000X
Registered Dietitian

Other

Enumeration date
02/04/2019
Last updated
09/16/2020
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