Doctor Name: | KELLY HOUSTON |
NPI Number: | 1003209024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN, LD |
License Number: | 2013038254 |
Business Practice Address: | 11628 Old Ballas Rd Suite 213 Creve Coeur, MO - 631417030 |
Business Phone Number: | 3142460899 |
Business Fax Number: | 3143959214 |
Mailing Address: | 2824 Keebler Rd, MARYVILLE |
State: | IL |
Postal Code: | 620626842 |
Phone Number: | 6183048378 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2015 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2013038254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |