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Contact Information

KELLY SCANLON, RD
SERENO DR.
VALLEJO, CA94589
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KELLY SCANLON · (Female)

NPI # 1770828352
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 12/07/2012
Last updated 12/07/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 993493
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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