Provider Demographics
NPI:1538202353
Name:KELEMEN, FRANCES JEANNE (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:JEANNE
Last Name:KELEMEN
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 WILDWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40977-9774
Mailing Address - Country:US
Mailing Address - Phone:606-337-8093
Mailing Address - Fax:
Practice Address - Street 1:620 DAVIS DR
Practice Address - Street 2:
Practice Address - City:NEW TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37825-2152
Practice Address - Country:US
Practice Address - Phone:423-626-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN299133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered