Kelli B Wallace, RD

NPI #1508551433 in Clayton, North Carolina

Provider Information

NPI Number
1508551433
Entity Type
Individual
Name
Kelli B Wallace, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Apr 6, 2023
Last Updated
Apr 6, 2023

Practice Location

Address
2138 NC HIGHWAY 42 W
ZIP Code
27520-5300
Phone
(919) 585-8777

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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