Most Relevant Information
Provider Data
| NPI Number: | 1003417064 |
| Provider Name: | KELLI ROBERTSON |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 37002149A |
Most Important Dates
| Enumeration Date: | 11/05/2020 |
| Last Updated: | 11/05/2020 |
Provider Practice Location
3700 WASHINGTON AVE
EVANSVILLE
IN
477140541
Practice Location Phone/Fax
| Phone: | 8124854098 |
| Fax: |
Provider Mailing Location
7504 MIDWAY DR
EVANSVILLE
IN
477116300
Provider Mailing Phone/Fax
| Phone: | 8126312784 |
| Fax: |