Doctor Name: | MS. HEATHER MARINA KTENIDIS |
NPI Number: | 1952636482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DT80166 |
Business Practice Address: | 24046 Highway 59 N Kingwood, TX - 773391500 |
Business Phone Number: | 2813583387 |
Business Fax Number: | 2813124445 |
Mailing Address: | 24046 Highway 59 N, KINGWOOD |
State: | TX |
Postal Code: | 773391500 |
Phone Number: | 2813583387 |
Fax Number: | 2813124445 |
NPI Enumeration Date: | 10/16/2009 |
NPI Last Update Date: | 10/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT80166 |
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 |