Organization
NUTRISENSE NUTRITION CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE MARIE BLAKE RDN, LD (OWNER - REGISTERED DIETITIAN NUTRIO)
(606) 615-2585
Entity
Organization
Contact information
Practice address
18 MEADOW LANE, SCOTT DEPOT, WV 25560
(606) 615-2585
Mailing address
18 MEADOW LANE, SCOTT DEPOT, WV 25560
(606) 615-2585
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
124633
KY
133V00000X
Registered Dietitian
Primary
506
WV
133V00000X
Registered Dietitian
6849
OH
133V00000X
Registered Dietitian
899921
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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