Individual
KELLY M ROZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
209 E MAIN ST, WAXAHACHIE, TX 75165-3755
(469) 383-8334
(888) 356-0401
Mailing address
209 E MAIN ST, WAXAHACHIE, TX 75165-3755
(469) 383-8334
(888) 356-0401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196126001
—
TX
01
—
8X7873
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
10/03/2007
Last updated
03/27/2014
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