NPI 1164677506

Kelly M Tolar, RD

Practitioner Registered Dietitian Shreveport, LA

Practice location

Address: 510 E Stoner Ave, Shreveport, LA 71101-4243
Phone: (318) 221-8411

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2113 (LA)

Other Dietitian, Registered providers in Louisiana →

Registry record

NPI: 1164677506
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2008
Record last updated: 26 Nov 2008

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.