Individual
KELLY ANN DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0740134470
VT
133V00000X
Registered Dietitian
Primary
3084
OK
133V00000X
Registered Dietitian
4433
MN
133V00000X
Registered Dietitian
D-10195067
OR
Other
Enumeration date
11/04/2018
Last updated
03/10/2025
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