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NPI Code Detail

MEDICARE: MELISSA KNOBLOCH GUYTON MS, RD, LD

MEDICARE:   MELISSA KNOBLOCH GUYTON  MS, RD, LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDT80307TX

General Provider Information

NPI Number : 1891824421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA KNOBLOCH GUYTON MS, RD, LD
Provider Business Mailing Address
First Line : 509 AUDUBON DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-6736
Country : US
Telephone Number : 318-780-0621
Fax Number :
Provider Business Practice Location Address
First Line : 6200 WEST PARKER ROAD
Second Line :
City : PLANO
State : TX
Zip : 75093-7914
Country : US
Telephone Number : 972-981-8444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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Directions to “ MELISSA KNOBLOCH GUYTON MS, RD, LD” Practice Location

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