KELLY PORTER, RD

Dietitian, Registered

Active Individual
NPI: 1700160843

Practice Address

620 SKYLINE DR
Jackson, TN 38301

Phone: (731) 541-5000

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 2339 (TN)

Frequently Asked Questions

NPI 1700160843 is the National Provider Identifier for KELLY PORTER, RD, a Dietitian, Registered provider located in Jackson, TN. This NPI was enumerated on October 7, 2011.
KELLY PORTER, RD practices at 620 SKYLINE DR, Jackson, TN 38301.

Quick Facts

NPI
1700160843
Type
Individual
Enumerated
Oct 7, 2011
Last Updated
Oct 7, 2011

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