Individual
KELLY VU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4200 W UNIVERSITY DR, PROSPER, TX 75078-9805
(945) 204-4100
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86415152
CA
133V00000X
Registered Dietitian
Primary
DT92385
TX
Other
Enumeration date
11/17/2025
Last updated
05/06/2026
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