NPI 1053565366

Kelly Jean Perez, REGISTEREDDIETITIAN

Practitioner Registered Dietitian Ft. Wainwright, AK

Practice location

Address: 4076 Neely Rd, Ft. Wainwright, AK 99703
Phone: (254) 495-5506
Mailing address: 523 Lily Dr APT 1, Ft Wainwright, AK 99703-1531

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence L003552 (NC)

Other Dietitian, Registered providers in Alaska →

Registry record

NPI: 1053565366
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2008
Record last updated: 18 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.