Individual
KATHRYN FRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1300 W LANCASTER AVE, STE 204, FORT WORTH, TX 76102-3410
(682) 885-2170
(817) 335-8277
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7337
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT84543
TX
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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