Organization
KATILEAN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHERINE ELIZABETH HALL RD LD (DIRECTOR)
(210) 862-4105
Entity
Organization
Contact information
Practice address
5604 SOUTHWEST PKWY APT 222, AUSTIN, TX 78735-6242
(210) 862-4105
Mailing address
5604 SOUTHWEST PKWY APT 222, AUSTIN, TX 78735-6242
(210) 862-4105
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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