Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Lynn Scanlon, CNINTERNSTUDENT

Individual provider Nutritionist · NPI 1104067073

Mrs. Kelly Lynn Scanlon, CNINTERNSTUDENT is a Nutritionist in Holly, Michigan. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

1344 Beaverbrook Dr
Holly, MI 48442-8628
Phone: (248) 634-3014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1104067073
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNINTERNSTUDENT
Sole proprietorYes
NPI enumeratedMarch 23, 2009
Last updated in NPPESMarch 23, 2009