Provider Demographics
NPI:1790838217
Name:PRATT, KELLY ANN (RD)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:ANN
Last Name:PRATT
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:530 CRAFT LN
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37743-7158
Mailing Address - Country:US
Mailing Address - Phone:423-972-1788
Mailing Address - Fax:
Practice Address - Street 1:GREENE COUNTY HEALTH DEPARTMENT
Practice Address - Street 2:810 WEST CHURCH STREET
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37744
Practice Address - Country:US
Practice Address - Phone:423-798-1749
Practice Address - Fax:423-798-1755
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered