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Individual

KATHRYN ELIZABETH LANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD, CDE

Contact information

Practice address
9101 N CENTRAL EXPY STE 370, DALLAS, TX 75231-5947
(215) 820-8220
(214) 820-8219
Mailing address
9101 N CENTRAL EXPY STE 370, DALLAS, TX 75231-5947
(214) 820-2969
(214) 820-8219

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86052291

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86052291
COMMISSION ON DIETETIC REGISTRATION
01
DT83832
TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS
TX
Enumeration date
11/28/2017
Last updated
11/28/2017
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