Individual
KELLY GOWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
128 BOYNTON AVE, PLATTSBURGH, NY 12901-1237
(518) 324-3399
Mailing address
128 BOYNTON AVE, PLATTSBURGH, NY 12901-1237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
998601
NY
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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