Individual
KENISHA CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
9869 FARRELL DR, HOUSTON, TX 77070-5089
(440) 319-8967
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(832) 674-0884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10258927
OR
133V00000X
Registered Dietitian
Primary
DT91339
TX
133V00000X
Registered Dietitian
LD.007797
OH
133V00000X
Registered Dietitian
LD007797
GA
Other
Enumeration date
12/03/2024
Last updated
10/20/2025
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