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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