Individual
KYLIE MARIE CHURNETSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, NBC-HWC
Contact information
Practice address
2240 TARPLEY RD APT 374, CARROLLTON, TX 75006-2434
(480) 370-3713
Mailing address
2240 TARPLEY RD APT 374, CARROLLTON, TX 75006-2434
(480) 370-3713
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86314778
TN
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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