Individual
MRS. KATHLEEN HELEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
15 PALOMBA DR, 2, ENFIELD, CT 06082-3888
(860) 253-9950
(860) 253-9398
Mailing address
2 VAN BUREN RD, ENFIELD, CT 06082-5323
(860) 463-9655
(860) 763-1260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3511
MA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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