Individual
CHRISTINA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9105 NE HIGHWAY 99 STE 201A, VANCOUVER, WA 98665-8974
(360) 576-1350
Mailing address
2407 NW 121ST CIR, VANCOUVER, WA 98685-2018
(734) 644-5099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI64004699
WA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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