| Shannon Kelly, | |
|
1110 Lake St Apt 2, Venice, CA 90291-3116 | |
| (630) 702-9703 | |
| Not Available |
| Full Name | Shannon Kelly |
|---|---|
| Gender | Facility |
| Speciality | Dietitian, Registered |
| Location | 1110 Lake St Apt 2, Venice, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. It may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508712381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Kelly, 1110 Lake St Apt 2, Venice, CA 90291-3116 Ph: Not Available | Shannon Kelly, 1110 Lake St Apt 2, Venice, CA 90291-3116 Ph: (630) 702-9703 |
Lilia Gonzalez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 |
Rachel Kory, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 618 Woodlawn Ave, Venice, CA 90291 Phone: 949-813-6097 |
Anne M Hendler, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1019 Vernon Ave, Venice, CA 90291 Phone: 310-266-2235 |
Silvia N. Villagran, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 |
Mr. Matthew Garrell, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 2403 Louella Ave, 2, Venice, CA 90291 Phone: 914-489-6273 |