Isom, Kellene Anne
Isom, Kellene Anne is an sole proprietor health care provider with primary practice located at 142 N Beacon St , Brighton MA 02135-2051. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Isom, Kellene Anne can be contacted via phone (857) 498-2524.Contact Information
Primary practice address
142 N Beacon St
Brighton MA 02135-2051
Phone: (857) 498-2524
Fax: (857) 498-2524
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | ||
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
NPI number | 1194237727 |
---|---|
LBN Legal business name | Isom, Kellene Anne |
Credentials | MS, RD, LDN, CAGS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 5th, 2017 |
Last updated | Nov 5th, 2017 - about 8 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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