Organization
KPS NUTRITION CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY PAYNE SMITH RDN (OWNER/MANAGER)
(719) 237-7181
Entity
Organization
Contact information
Practice address
9320 GRAND CORDERA PKWY STE 100, COLORADO SPRINGS, CO 80924-7004
(719) 344-2780
(855) 803-5480
Mailing address
819 DUNSTON ST, COLORADO SPRINGS, CO 80907-4130
(719) 237-7181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1036238
CO
Other
Enumeration date
12/06/2017
Last updated
11/01/2019
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