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Kimberlee G Carranza
Pediatric Nutrition Registered Dietitian in San Antonio, Texas
NPI 1467704213

Kimberlee G Carranza is a Pediatric Nutrition Registered Dietitian based in Fort Worth, TX and is specialized in Nutrition, Pediatric. Kimberlee G Carranza practices in San Antonio, TX. The NPI Number for Kimberlee G Carranza is 1467704213 and holds a License No. DT06282 (Texas).

The current practice location address for Kimberlee G Carranza is 98 Briggs St, San Antonio, TX and can be reached out via phone at 210-226-9536 and via fax at 817-789-6849. You can also correspond with Kimberlee G Carranza through the mailing address at 5316 TRAIL LAKE DR, FORT WORTH, TX - 76133-1931 (mailing address contact number: 817-292-8787).

Location: 98 Briggs St, San Antonio, TX, 76133-1931
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Provider Profile Details
NPI Number
1467704213
Provider Name
Kimberlee G Carranza
Credential
Provider Entity Type
Individual
Gender
Female
Address
98 Briggs St, San Antonio, TX, 76133-1931
Phone Number
210-226-9536
Fax Number
817-789-6849
Provider Enumeration Date
10/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207164901 05 TX
149984001 05 TX
institution
Provider Business Practice Location Address Details
Address
98 Briggs St
City
State
Zip
78224-1286
Phone Number
210-226-9536
Fax Number
817-789-6849
person
Provider Business Mailing Address Details
Address
5316 Trail Lake Dr
City
State
Zip
76133-1931
Phone Number
817-292-8787
Fax Number
817-789-6849
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
License No.
DT06282 (Texas)
Definition
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, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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