Individual
KELLY MARIE SIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3125 34TH AVE S, SEATTLE, WA 98144-6127
(805) 455-5712
Mailing address
3125 34TH AVE S, SEATTLE, WA 98144-6127
(805) 455-5712
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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