Individual
KYLIE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5049 EDWARDS RANCH RD, FORT WORTH, TX 76109-4213
(682) 231-3604
Mailing address
512 LAMAR ST, FORT WORTH, TX 76102-3782
(817) 566-1025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598207821
YMCA OF METROPOLITAN FORT WORTH
TX
Enumeration date
09/10/2024
Last updated
09/10/2024
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