Individual
KELLY VANALLEN-BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5 ROTHERMEL AVE, KINDERHOOK, NY 12106-2105
(518) 758-8885
Mailing address
PO BOX 3, KINDERHOOK, NY 12106-0003
(518) 758-8885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006035-1
NY
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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