Individual
MELISSA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
8 STRAWBERRY LN, OLD LYME, CT 06371-2627
(860) 575-2890
Mailing address
8 STRAWBERRY LN, OLD LYME, CT 06371-2627
(860) 575-2890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1695
CT
133V00000X
Registered Dietitian
Primary
86026739
—
Other
Enumeration date
07/29/2014
Last updated
04/27/2021
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