Provider Demographics
NPI:1174971717
Name:FELMLEE, KERRI (DCN, MS, RDN, LD)
Entity type:Individual
Prefix:DR
First Name:KERRI
Middle Name:
Last Name:FELMLEE
Suffix:
Gender:F
Credentials:DCN, MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34605 KARA LN
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:TX
Mailing Address - Zip Code:77362-2541
Mailing Address - Country:US
Mailing Address - Phone:346-800-6211
Mailing Address - Fax:
Practice Address - Street 1:34605 KARA LN
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:TX
Practice Address - Zip Code:77362-2541
Practice Address - Country:US
Practice Address - Phone:346-800-6211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84290133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDT84290OtherTEXAS DEPARTMENT OF LICENSING AND REGULATION