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Individual

KELLSEY O'DONNELL FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
1601 CHERRY ST FL 2, PHILADELPHIA, PA 19102-1306
(215) 553-7013
Mailing address
1651 PEMBROOK RD, MAPLE GLEN, PA 19002-3167
(215) 896-8485

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006217
PA

Other

Enumeration date
07/06/2017
Last updated
06/11/2019
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