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KERI M TALLEY RD, LD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1154512028

Individual Registrant:
 KERI M TALLEY RD, LD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1495 COUNTY ROAD 441  WILSONVILLE, AL 35186-8049 US
Tel: 205-669-1870  Fax: 205-669-1637

Contact information for business:
1495 COUNTY ROAD 441  WILSONVILLE, AL 35186-8049 US
Tel: 205-669-1870  Fax: 205-669-1637

Registration Information:
NPI: 1154512028
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
AL1395

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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