Dickson, Kelly L
Dickson, Kelly L is an individual health care provider with primary practice located at 25 Monument Rd Ste 105 , York PA 17403-5049. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dickson, Kelly L can be contacted via phone (717) 851-7575.Contact Information
Primary practice address
25 Monument Rd Ste 105
York PA 17403-5049
Phone: (717) 851-7575
Fax: (717) 812-5154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DN004679 | Pennsylvania |
Profile Details
| NPI number | 1205103520 |
|---|---|
| LBN Legal business name | Dickson, Kelly L |
| Credentials | RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2011 |
| Last updated | Apr 7th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205103520 | NPPES |
| Other | DN004679 | LICENSE NUMBER |
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