Doctor Name: | KELLY PATRICK |
NPI Number: | 1518320688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 1392 |
Business Practice Address: | 2000 6th Ave S Birmingham, AL - 352332110 |
Business Phone Number: | 2058018658 |
Business Fax Number: | |
Mailing Address: | 3821 Kinross Dr, BIRMINGHAM |
State: | AL |
Postal Code: | 352425803 |
Phone Number: | 2057566917 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2016 |
NPI Last Update Date: | 04/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |