Kelli Amanda Dunagan, RDN, LD
Dietitian, Registered in Winston Salem, NC. Individual provider (NPI-1).
NPI number1154053981
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1154053981
- Entity type
- Individual (NPI-1)
- Name
- Kelli Amanda Dunagan
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2022
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L007008 | NC | Yes |
| 133V00000X | Dietitian, Registered | LDN0000003336 | TN |
Practice location
730 Highland Oaks DrWinston Salem, NC 27103-7154
Phone 336-646-7323
Mailing address
Po Box 604050Charlotte, NC 28260-4050
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