Individual
KENNON LYDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4408 SPICEWOOD SPRINGS RD STE 111, AUSTIN, TX 78759-8504
(512) 655-3878
Mailing address
1305 LEONA ST UNIT 1, AUSTIN, TX 78702-2119
(512) 627-2297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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