Individual
KELSEY NICOLE VANVOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
12398 NEAR LN, CALEDONIA, MI 49316-9325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86075076
MI
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
86075076
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/25/2021
Last updated
08/25/2021
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