Doctor Name: | MRS. KELLY JEAN NELSON |
NPI Number: | 1649580184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 00722076 |
Business Practice Address: | 6852 S 220th St Kent, WA - 980321963 |
Business Phone Number: | 2538723460 |
Business Fax Number: | 8885993448 |
Mailing Address: | 6852 S 220th St, KENT |
State: | WA |
Postal Code: | 980321963 |
Phone Number: | 2538723460 |
Fax Number: | 8885993448 |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 10/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00722076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |