Individual provider · NPI-1

Kathleen Elizabeth Davis, MS/RD/LD

Dietitian, Registered · Denton, TX

NPI number1467649194
StatusActive
Last updated in NPPESSep 26, 2007

Details

NPI
1467649194
Entity type
Individual (NPI-1)
Name
Mrs. Kathleen Elizabeth Davis
Credential
MS/RD/LD
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 26, 2007
Last updated
Sep 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredDT05834TXYes

Other names

  • Kathleen Elizabeth Mitchell (Former Name)

Practice location

421 E Hickory St
Denton, TX 76201-4233

Phone 940-395-8577

Mailing address

2620 Picadilly Ln
Denton, TX 76209-8655

Phone 940-395-8577

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