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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY LYNN SCANLON, C.N (INTERN STUDENT)

Active Sole Proprietor

MRS. KELLY LYNN SCANLON, C.N (INTERN STUDENT) is a Nutritionist healthcare provider located in HOLLY, Michigan. NPI 1104067073 is currently active in the NPPES registry. Verify at CMS.

Nutritionist · HOLLY, MI

Registration Details

NPI Number
1104067073
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2009 (17.431002136473 yrs)
Last Updated
Mar 23, 2009
Sole Proprietor
Yes

Practice Information

Address
1344 BEAVERBROOK DR
HOLLY, MI, 484428628
Browse MI providers · Browse ZIP 48442
Phone
2486343014
Primary Specialty
Nutritionist
133N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.