Provider Demographics
NPI:1083329742
Name:HILL, KATHERINE DENISE (RD, LD, CNSC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DENISE
Last Name:HILL
Suffix:
Gender:F
Credentials:RD, LD, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 ALAMEDA DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6838
Mailing Address - Country:US
Mailing Address - Phone:956-206-8547
Mailing Address - Fax:
Practice Address - Street 1:929 N GALLOWAY AVE STE 302A
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2460
Practice Address - Country:US
Practice Address - Phone:956-206-8547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered