Individual
DR. KATHLEEN ADELE ANDING MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RD, LD
Contact information
Practice address
1604 BAUERLE AVE, AUSTIN, TX 78704-3302
(512) 658-5795
Mailing address
1604 BAUERLE AVE, AUSTIN, TX 78704-3302
(512) 658-5795
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
DT83784
TX
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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