Provider Demographics
NPI:1356475198
Name:RAMSEYER, KELLY ANN (REGISTERED DIETICIAN)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:RAMSEYER
Suffix:
Gender:F
Credentials:REGISTERED DIETICIAN
Other - Prefix:
Other - First Name:WUETHRICH
Other - Middle Name:KELLY
Other - Last Name:ANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42287 CHERRY HILL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1975
Mailing Address - Country:US
Mailing Address - Phone:734-981-1206
Mailing Address - Fax:734-981-1299
Practice Address - Street 1:42287 CHERRY HILL RD
Practice Address - Street 2:SUITE D
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1975
Practice Address - Country:US
Practice Address - Phone:734-981-1206
Practice Address - Fax:734-981-1299
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered