Provider Demographics
NPI:1962227363
Name:DUHON, KATHRYNE ANN (RD)
Entity type:Individual
Prefix:
First Name:KATHRYNE
Middle Name:ANN
Last Name:DUHON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:KATHRYNE
Other - Middle Name:ANN
Other - Last Name:LOZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:202 AUGUSTINE WAY
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-7262
Mailing Address - Country:US
Mailing Address - Phone:281-979-5660
Mailing Address - Fax:
Practice Address - Street 1:202 AUGUSTINE WAY
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-7262
Practice Address - Country:US
Practice Address - Phone:281-979-5660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty