Kelly Danielle Tahlor, RDN, CDN

NPI #1275231433 in Centereach, New York

Provider Information

NPI Number: 1275231433
Entity Type: Individual
Name: Kelly Danielle Tahlor, RDN, CDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RDN, CDN
Enumeration Date: Feb 17, 2023
Last Updated: Feb 17, 2023

Practice Location

Address: 23 S HOWELL AVE STE D
City: Centereach
State: New York
ZIP Code: 11720-4445
Phone: (631) 444-2274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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