Individual
KELLY MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18151 NE 31ST CT APT 1503, AVENTURA, FL 33160-2664
(929) 270-9065
Mailing address
18151 NE 31ST CT APT 1503, AVENTURA, FL 33160-2664
(929) 270-9065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND12289
FL
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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