Individual
MRS. KELLY J HOLEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
261 E 78TH ST FL 6, NEW YORK, NY 10075-1201
(646) 386-7745
Mailing address
261 E 78TH ST FL 6, NEW YORK, NY 10075-1201
(646) 386-7745
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007010
NY
133V00000X
Registered Dietitian
0977415
NC
Other
Enumeration date
01/08/2009
Last updated
12/10/2012
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