Individual
KYLEE-JEAN MCCOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(718) 581-8659
Mailing address
4520 LABRADOR DR, RALEIGH, NC 27616-7200
(718) 581-8659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT90018
TX
133V00000X
Registered Dietitian
Primary
L005747
NC
Other
Enumeration date
05/03/2019
Last updated
04/22/2024
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