Kelley Blasa, RD, LDN

NPI #1700055100 in Hannibal, Missouri

Provider Information

NPI Number
1700055100
Entity Type
Individual
Name
Kelley Blasa, RD, LDN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LDN
Enumeration Date
Feb 29, 2008
Last Updated
Feb 29, 2008

Practice Location

Address
11197 W LAKESHORE DR
ZIP Code
63401-7386
Phone
(573) 221-1354

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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