Individual
KELSIE BURCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 693-7045
Mailing address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
289939
KY
133V00000X
Registered Dietitian
LD.09902
OH
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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