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KG HEALTHY LIFESTYLES INC NPI 1922648930


NPI Information

NPI: 1922648930
Provider Name: KG HEALTHY LIFESTYLES, INC

Doing Business As: PROFILE BY SANFORD

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
2100 DALLAS PKWY STE 115
PLANO, TX
ZIP 75093
Phone: (469) 409-0156
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KG HEALTHY LIFESTYLES, INC is a dietitian registered in Plano, TX. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. KG HEALTHY LIFESTYLES, INC NPI is 1922648930. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Profile By Sanford.

The provider's business location address is:

2100 DALLAS PKWY STE 115
PLANO, TX
ZIP 75093-305
Phone: (469) 409-0156

The provider's authorized official is Kandi Suzanne Alyousef .
The authorized official title is Owner and has the following contact phone number (972) 213-6201.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 1/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistNo
2133V00000XDietitian, RegisteredYes
3133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
4133VN1501XDietitian, RegisteredNutrition, Sports DieteticsNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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