Castles, Kendall

Castles, Kendall is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Castles, Kendall can be contacted via phone (682) 885-1990.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Phone: (682) 885-1990
Fax: (682) 885-1985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT83822 Texas

Profile Details

NPI number 1043675846
LBN Legal business name Castles, Kendall
Credentials MS,RD,LD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2015
Last updated Oct 24th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043675846 NPPES
Texas MEDICAID 355128501

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