Organization
KMM NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY MCCULLOUGH RDN, LDN (OWNER)
(603) 991-7996
Entity
Organization
Contact information
Practice address
67 VT ROUTE 5A, WEST BURKE, VT 05871-4415
(802) 227-2585
Mailing address
67 VT ROUTE 5A, WEST BURKE, VT 05871-4415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
01/13/2025
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