Individual
MRS. KELLY A FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1814 CROWN POINTE BLVD, MISSION, TX 78572-3167
(956) 451-1771
Mailing address
1814 CROWN POINTE BLVD, MISSION, TX 78572-3167
(956) 451-1771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT 04934
TX
133V00000X
Registered Dietitian
Primary
DT04934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT 04934
STATE LICENSE
TX
Enumeration date
12/12/2006
Last updated
09/02/2025
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