Individual
STACEY KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1701 W NORTHWEST HWY, GRAPEVINE, TX 76051-8127
(682) 651-8581
Mailing address
1000 OWNBY LN, SOUTHLAKE, TX 76092-6331
(214) 693-2657
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84513
TX
Other
Enumeration date
07/18/2017
Last updated
03/29/2018
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