Individual
KELSEY ANNE VILCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-4990
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85188
TX
Other
Enumeration date
06/12/2018
Last updated
07/18/2018
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