Individual
KELLY RENEA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9147
Mailing address
1105 E VINE ST, MOUNT VERNON, OH 43050-3658
(740) 507-4858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6036
OH
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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