Individual
KENNY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6287
(214) 456-6287
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(713) 505-6265
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86370785
—
Other
Enumeration date
09/07/2022
Last updated
09/10/2025
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