Organization
N-OF-1 PERSONALIZED NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANDREW KELLENBERGER RD, PA, DMS (OWNER)
(903) 467-9921
Entity
Organization
Contact information
Practice address
400 HOSPITAL DR STE 104, CORSICANA, TX 75110-2489
(903) 467-9921
Mailing address
25 DOBBINS XING, CORSICANA, TX 75110-2423
(903) 467-9921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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