Your Specialized Dietitian

NPI 1285029017 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1285029017
Enumeration Date 03/30/2015
Last Updated 03/30/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KYLE FIELDING KYLE
Position OWNER
Phone (903) 816-3657
Fax (817) 977-7406
Practice Location
408 W MAIN ST
WHITESBORO TX, 76273-1641, US
Phone (903) 816-3657
Fax (817) 977-7406
Business Location
408 WEST MAIN ST
WHITESBORO TX, 76273, US
Phone (903) 816-3657
Fax (817) 977-7406
Toxanomy
Taxonomy Code 133V00000X
License State Texas
License Number DT80568
Remove 1285029017 NPI Number
 

According to our database, Your Specialized Dietitian NPI is 1285029017, taxonomy code is 133V00000X and license number is DT80568, license state is located at Texas. Your Specialized Dietitian physically located at 408 W Main St, Whitesboro TX, 76273-1641. NPI Number 1033115704 has the healthcare provider type.

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1285029017 NPI number is provided on an as is basis without warranty of any kind. 1285029017 is maintained by the National Plan & Provider Enumeration System. The contents of Your Specialized Dietitian are for informational purposes only.