Most Relevant Information
Provider Data
| NPI Number: | 1003241977 |
| Provider Name: | KELLY L NORDBY RD, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | L004067 |
Most Important Dates
| Enumeration Date: | 09/10/2013 |
| Last Updated: | 09/10/2013 |
Provider Practice Location
512 BRICKHAVEN DR
RALEIGH
NC
276061492
Practice Location Phone/Fax
| Phone: | 9197075397 |
| Fax: |
Provider Mailing Location
512 BRICKHAVEN DR
RALEIGH
NC
276061492
Provider Mailing Phone/Fax
| Phone: | 9197075397 |
| Fax: |