Aldrich, Kelly Grace

Aldrich, Kelly Grace is an individual health care provider with primary practice located at 6717 E 2Nd St Ste. D, Prescott Valley AZ 86314-2659. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Aldrich, Kelly Grace can be contacted via phone (928) 771-3560.

Contact Information

Primary practice address
6717 E 2Nd St Ste. D Prescott Valley AZ 86314-2659
Phone: (928) 771-3560
Fax: (928) 771-3542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 853106 Arizona

Profile Details

NPI number 1730180142
LBN Legal business name Aldrich, Kelly Grace
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730180142 NPPES
Arizona MEDICAID 709701

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