Individual
KAELI ANGELA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
5511 S CREE DR, SPOKANE, WA 99206-9311
(919) 830-7138
Mailing address
112 LOCH HAVEN LN, CARY, NC 27518-9710
(919) 830-7138
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86150801
NC
133V00000X
Registered Dietitian
L006395
NC
Other
Enumeration date
05/24/2021
Last updated
07/31/2024
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