Individual
KIMBERLY HOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4337 SUMMER STAR LN, FORT WORTH, TX 76244-4935
(817) 343-1997
(817) 562-4337
Mailing address
4337 SUMMER STAR LN, FORT WORTH, TX 76244-4935
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07168
TX
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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