Provider / Organization | NPI | Date Certified |
---|---|---|
ELLA KENNEY | 1811564131 | 2021-06-06 |
Ella Kenney is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811564131. Registration indicates Ella Kenney is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
Entity Type | Individual |
Provider Name | Ella Kenney |
Practice Office Address | 1909 FAYMONT AVE MANHATTAN BEACH, CA US |
Practice Office Telephone | 3607912968 |
Mailing Address | 1909 FAYMONT AVE MANHATTAN BEACH, CA 902664105 US |
work email [email] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers |
1045302 | OTHER | COMMISSION ON D |