Individual
MS. KATHRYN MARGARET JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1935 MOTOR STREET, CLINICAL NUTRITION, DALLAS, TX 75235
(214) 456-2178
(214) 456-6287
Mailing address
2626 REAGAN ST, APT. 113, DALLAS, TX 75219-3312
(214) 908-5234
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80742
TX
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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