Kelly, Alyssa Jennifer

Kelly, Alyssa Jennifer is an individual health care provider with primary practice located at 160 E Main St , Port Jervis NY 12771-2253. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kelly, Alyssa Jennifer can be contacted via phone (845) 858-7023.

Contact Information

Primary practice address
160 E Main St Port Jervis NY 12771-2253
Phone: (845) 858-7023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 889231 New York

Profile Details

NPI number 1588987416
LBN Legal business name Kelly, Alyssa Jennifer
Credentials MS, RD, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2010
Last updated Mar 6th, 2010 - about 15 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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