Most Relevant Information
Provider Data
| NPI Number: | 1003482670 |
| Provider Name: | REANNA KELLY MS, RD, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | L006247 |
Most Important Dates
| Enumeration Date: | 06/03/2021 |
| Last Updated: | 05/29/2023 |
Provider Practice Location
3204 LIVIA CIR
RALEIGH
NC
276044506
Practice Location Phone/Fax
| Phone: | 9197304956 |
| Fax: |
Provider Mailing Location
4509 CREEDMOOR RD
RALEIGH
NC
276123813
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |