Individual
KELLY ANNE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.
Contact information
Practice address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
(757) 496-1126
Mailing address
2261 BIZZONE CIR, VIRGINIA BEACH, VA 23464-1531
(757) 479-6967
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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