Individual
MRS. KELLY GRIFFIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
751 N RUTLEDGE ST, RM 2300, SPRINGFIELD, IL 62702-4909
(217) 545-3821
(217) 545-1229
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-3821
(217) 545-1229
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-000416
IL
Other
Enumeration date
04/07/2006
Last updated
03/10/2011
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