Individual
KELLEY WISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9404 MILL HOLLOW DR, DALLAS, TX 75243-6338
(972) 921-4669
Mailing address
9404 MILL HOLLOW DR, DALLAS, TX 75243-6338
(972) 921-4669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01024659
TX
Other
Enumeration date
10/20/2010
Last updated
01/22/2020
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