Kelly Marie Neilson, MDA, RD, LD

NPI #1013568807 in Gardendale, Alabama

Provider Information

NPI Number: 1013568807
Entity Type: Individual
Name: Kelly Marie Neilson, MDA, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MDA, RD, LD
Enumeration Date: Sep 24, 2019
Last Updated: Sep 24, 2019

Practice Location

Address: 4496 SIERRA LN
City: Gardendale
State: Alabama
ZIP Code: 35071-4224
Phone: (801) 472-4103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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