Individual
MRS. CARLY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
605 HOLDERRIETH BLVD, TOMBALL, TX 77375-6445
(281) 401-7732
(281) 357-2253
Mailing address
10 S. VILLA OAKS DR., THE WOODLANDS, TX 77382
(281) 323-0098
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80217
TX
Other
Enumeration date
10/19/2006
Last updated
02/27/2009
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