Individual
KELLY MCMAHON HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1122 W 18TH ST, HOUSTON, TX 77008-3341
(713) 301-6280
Mailing address
1122 W 18TH ST, HOUSTON, TX 77008-3341
(713) 301-6280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06688
TX
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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