Most Relevant Information
Provider Data
| NPI Number: | 1003646563 |
| Provider Name: | EMILY KELSEY |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86040911 |
Most Important Dates
| Enumeration Date: | 08/07/2024 |
| Last Updated: | 08/07/2024 |
Provider Practice Location
3535 NORTHEDGE DR NE
ROCKFORD
MI
493419216
Practice Location Phone/Fax
| Phone: | 5178967183 |
| Fax: |
Provider Mailing Location
3535 NORTHEDGE DR NE
ROCKFORD
MI
493419216
Provider Mailing Phone/Fax
| Phone: | 5178967183 |
| Fax: |