Individual
KIRSTEN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
4500 SPRING AVE STE 130, DALLAS, TX 75210-1350
(214) 865-3060
(214) 865-3070
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85784
TX
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
DT85784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT85784
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
01/22/2020
Last updated
01/12/2022
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