NPI 1003191735

Kristel June Fredericks, MSRDLD

Practitioner Registered Dietitian Longview, TX

Practice location

Address: 3133 Good Shepherd Way, Longview, TX 75605-7921
Phone: (903) 323-6541
Fax: (903) 323-6564

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DT82118 (TX)

Other Dietitian, Registered providers in Texas →

Registry record

NPI: 1003191735
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2011
Record last updated: 31 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.