Individual
MRS. DEBORAH ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D
Contact information
Practice address
120 N 5TH ST, CROCKETT, TX 75835-2010
(936) 544-3438
(936) 544-8126
Mailing address
120 N 5TH ST, PO BOX 877, CROCKETT, TX 75835-2010
(936) 544-3438
(936) 544-8126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00538
TX
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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