Individual
KELLY ANNE LEVASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 293-9110
Mailing address
12221 VIENNA APPLE RD, FORT WORTH, TX 76244-7560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88351
TX
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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