Katherine Anne Green, RD/LD Valid NPI
Individual provider · Pediatric Nutrition Registered Dietitian · Dallas, TX
- NPI
- 1073619557
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nutrition Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133VN1004X
- License number
- DT07680 (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-09-15
- Last updated
- 2007-07-08
Practice location
1935 Motor St
Dallas, TX 75235-7701
(214) 456-2133