Individual
KEVIN CONNOLLY KLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4607 MORNINGSIDE DR, HOUSTON, TX 77005-1441
(267) 978-8889
Mailing address
4607 MORNINGSIDE DR, HOUSTON, TX 77005-1441
(267) 978-8889
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
DT86166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT86166
LICENSED DIETITIAN
TX
Enumeration date
10/09/2020
Last updated
10/09/2020
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