Individual
MRS. KATHRYN ALLYSON BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
6328 BATTLE MOUNTAIN TRL, FORT WORTH, TX 76179-2155
(817) 980-2713
Mailing address
6328 BATTLE MOUNTAIN TRL, FORT WORTH, TX 76179-2155
(817) 980-2713
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
086065832
—
133V00000X
Registered Dietitian
DT88965
TX
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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