Individual
KELLI MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
720 S 6TH ST, MONTICELLO, IN 47960-8182
(574) 583-1771
(574) 583-1715
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003398A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86073826
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
04/18/2022
Last updated
08/08/2022
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