Individual
KELLI BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, HNFM
Contact information
Practice address
205 KEN PRATT BLVD, SUITE 120 PMB1, LONGMONT, CO 80501-8993
(720) 483-6336
Mailing address
205 KEN PRATT BLVD, SUITE 120 PMB1, LONGMONT, CO 80501-8993
(720) 483-6336
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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