Individual
KELLY CARVALHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CNS
Contact information
Practice address
PO BOX 687, WAREHAM, MA 02571-0687
(774) 257-5044
Mailing address
PO BOX 687, WAREHAM, MA 02571-0687
(774) 257-5044
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LDN7766
MA
133V00000X
Registered Dietitian
LDN7766
MA
Other
Enumeration date
10/21/2024
Last updated
07/17/2025
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