Individual provider · Type 1 NPI

Kristel June Fredericks, MS, RD, LD

Registered Dietitian · Longview, TX

NPI number 1003191735 Active

Practice location

3133 Good Shepherd Way
Longview, TX 75605-7921

Call (903) 323-6541 Map

Fax (903) 323-6564

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDT82118 (TX)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1003191735

Kristel June Fredericks, MS, RD, LD's National Provider Identifier is 1003191735, issued on Oct 13, 2011. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Longview, TX. The record was last updated on Jul 31, 2013.