Individual
KELLY LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
459 SPRUCE DR, EXTON, PA 19341-2025
(215) 816-6420
Mailing address
459 SPRUCE DR, EXTON, PA 19341-2025
(215) 816-6420
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004022
PA
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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