Kaci Blackshear

NPI #1154194876 in Winnie, Texas

Provider Information

NPI Number
1154194876
Entity Type
Individual
Name
Kaci Blackshear
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Nov 3, 2023
Last Updated
Nov 3, 2023

Practice Location

Address
538 BROADWAY
City
Winnie
State
Texas
ZIP Code
77665-7600
Phone
(409) 296-6000

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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