Individual
KAY HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
424 W RIECK RD, #246, TYLER, TX 75703-3136
(903) 571-0553
Mailing address
424 W RIECK RD, #246, TYLER, TX 75703-3136
(903) 571-0553
(979) 530-9551
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81961
TX
Other
Enumeration date
03/04/2010
Last updated
09/06/2016
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