Kelly, Mary Ann

Kelly, Mary Ann is an sole proprietor health care provider with primary practice located at 6448 Hallee Rd Ste 9 , Joshua Tree CA 92252-1908. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Kelly, Mary Ann can be contacted via phone (760) 366-8390.

Contact Information

Primary practice address
6448 Hallee Rd Ste 9 Joshua Tree CA 92252-1908
Phone: (760) 366-8390
Fax: (760) 418-2243
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X 709057 Illinois
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 709057 Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 709057 Illinois

Profile Details

NPI number 1518187772
LBN Legal business name Kelly, Mary Ann
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2007
Last updated Dec 15th, 2020 - about 5 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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