KENNY PHAM

DALLAS, TX
NPI1851012843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence:   86370785)
Enumeration Date2022-09-07
Last Update Date2022-09-07
Business Address
KENNY PHAM
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-456-6287
Mailing Address
KENNY PHAM
1414 BELLINGHAM LN
GARLAND, TX 75044-3227
Phone number: 713-505-6265