Individual
KELLY BADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6225 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6294
(817) 421-2922
Mailing address
4000 HULEN PL APT 258, FORT WORTH, TX 76107-7374
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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