Individual
KELLI JO WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
911 W 38TH ST STE 201, AUSTIN, TX 78705-1107
(512) 459-1131
(512) 459-0846
Mailing address
17405 WISEMAN DR, PFLUGERVILLE, TX 78660-5723
(512) 461-7741
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84535
TX
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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