Individual
NELSON LEIGH KENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CDE
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5093
Mailing address
9950 S ROUTE N, COLUMBIA, MO 65203-8997
(573) 657-1990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001022274
MO
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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