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Individual

KAYLA HARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, LD

Contact information

Practice address
1521 COOPER ST, FORT WORTH, TX 76104-2711
(682) 885-2409
(817) 347-9602
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT84117
TX

Other

Enumeration date
06/20/2017
Last updated
06/02/2021
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