Individual provider · Type 1 NPI

Katherine Anne Green, RD/LD

Pediatric Nutrition Registered Dietitian · Dallas, TX

NPI number 1073619557 Active

Practice location

1935 Motor St
Dallas, TX 75235-7701

Fax (214) 456-6287

Mailing address

11124 Cactus Ln
Dallas, TX 75238-3802

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XDT07680 (TX)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1073619557

Katherine Anne Green, RD/LD's National Provider Identifier is 1073619557, issued on Sep 15, 2006. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.