Greenstreet, Kelly

Greenstreet, Kelly is an individual health care provider with primary practice located at 1 Hoag Dr , Newport Beach CA 92663-4162. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Greenstreet, Kelly can be contacted via phone (949) 764-8205.

Contact Information

Primary practice address
1 Hoag Dr Newport Beach CA 92663-4162
Phone: (949) 764-8205
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1013284512
LBN Legal business name Greenstreet, Kelly
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 13 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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