Individual provider · NPI-1

Kelley Davis, MS, RD

Dietitian, Registered · Mountain View, CA

NPI number1023499704
StatusActive
Last updated in NPPESJun 17, 2015

Details

NPI
1023499704
Entity type
Individual (NPI-1)
Name
Kelley Davis
Credential
MS, RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 17, 2015
Last updated
Jun 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1045164–Yes

Practice location

2500 Grant Rd
Lpch-4c
Mountain View, CA 94040-4302

Phone 650-988-4111

Mailing address

2500 Grant Rd
Lpch-4c
Mountain View, CA 94040-4302

Phone 650-988-4111

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