Individual
KATE LINDSAY PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
2525 WALLINGWOOD DR, BLDG 8, STE 800, AUSTIN, TX 78746-6900
(512) 994-4594
Mailing address
2525 WALLINGWOOD DR, BLDG 8, STE 800, AUSTIN, TX 78746-6900
(512) 994-4594
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81459
TX
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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