Individual
MISS MARY ELLEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
55 HUNTINGTON RD, MILTON, MA 02186-5311
(617) 784-3678
Mailing address
55 HUNTINGTON RD, MILTON, MA 02186-5311
(617) 784-3678
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00952137
NY
Other
Enumeration date
07/23/2006
Last updated
01/02/2025
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