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Contact Information

AMY L KELLY, RD
254 CLARKSON RD
ELLISVILLE, MO63011-2245
 Phone: 636-227-7337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AMY L KELLY · (Female)

NPI Number 1811142433
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 11/24/2008
Last updated 11/24/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 164004678
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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