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Organization

KG HEALTHY LIFESTYLES, INC

Active
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Organization

KG HEALTHY LIFESTYLES, INC

Active
Other names
Profile by Sanford
Organization subpart
No

Provider details

NPI number
Authorized official
KANDI SUZANNE ALYOUSEF (OWNER)
(972) 213-6201
Entity
Organization

Contact information

Practice address
2100 DALLAS PKWY STE 115, PLANO, TX 75093-4305
(469) 409-0156
Mailing address
2100 DALLAS PKWY STE 115, PLANO, TX 75093-4305
(469) 409-0156

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133V00000X
Registered Dietitian
Primary
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
133VN1501X
Sports Dietetics Nutrition Registered Dietitian

Other

Enumeration date
01/08/2020
Last updated
01/09/2020
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