Doctor Name: | KELLI PASCHALL |
NPI Number: | 1952587669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CDE |
License Number: | DT03920 |
Business Practice Address: | 7202 Slide Rd Ste 303 Lubbock, TX - 794242553 |
Business Phone Number: | 8067223110 |
Business Fax Number: | 8067223115 |
Mailing Address: | 5219 City Bank Pkwy, Ste 135 LUBBOCK |
State: | TX |
Postal Code: | 794073544 |
Phone Number: | 8067857676 |
Fax Number: | 8067222908 |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 01/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT03920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |