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Individual

KELLY J BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RND, LDN

Contact information

Practice address
329 BUSINESS CIR, PELHAM, AL 35124-1711
(630) 824-7870
Mailing address
329 BUSINESS CIR, PELHAM, AL 35124-1711
(630) 824-7870

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86074143
AL

Other

Enumeration date
12/01/2023
Last updated
11/10/2024
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