Gardner, Kelly Anne

Gardner, Kelly Anne is an sole proprietor health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Gardner, Kelly Anne can be contacted via phone (607) 547-6665.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Phone: (607) 547-6665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X DO1266 Maryland
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 011102 New York

Profile Details

NPI number 1730311036
LBN Legal business name Gardner, Kelly Anne
Credentials RD,CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated Nov 21st, 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.

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