Individual
KELLI PASCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CDE
Contact information
Practice address
7202 SLIDE RD, STE 303, LUBBOCK, TX 79424-2553
(806) 722-3110
(806) 722-3115
Mailing address
5219 CITY BANK PKWY, STE 135, LUBBOCK, TX 79407-3544
(806) 785-7676
(806) 722-2908
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03920
TX
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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