Individual
JESSICA MICHELLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
618 1ST ST, LANCASTER, PA 17603-3622
(610) 331-2671
Mailing address
618 1ST ST, LANCASTER, PA 17603-3622
(610) 331-2671
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006295
PA
Other
Enumeration date
06/21/2022
Last updated
11/08/2022
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