Kelly B Phillips LDN RD

NPI 1013944065 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1013944065
Gender Female
Enumeration Date 06/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
8166 MAIN STREET
HOUMA LA, 70360, US
Phone (985) 873-4141
Fax (985) 851-4307
Business Location
PO BOX 6037
HOUMA LA, 70361-6037, US
Phone (985) 873-4235
Fax (985) 851-4307
Toxanomy
Taxonomy Code 133V00000X
License State Louisiana
License Number 1786
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According to our database, Kelly B Phillips LDN RD NPI is 1013944065, taxonomy code is 133V00000X and license number is 1786, license state is located at Louisiana. Kelly B Phillips LDN RD physically located at 8166 Main Street, Houma LA, 70360. NPI Number Kelly B Phillips LDN RD has the Individual type.

1013944065 NPI number is provided on an as is basis without warranty of any kind. 1013944065 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly B Phillips LDN RD are for informational purposes only.