KENNY PHAM
NPI 1851012843
Dietitian, Registered - Nutrition, Pediatric in Dallas, TX
- Individual
- Male
- Dietitian, Registered
- Nutrition, Pediatric
About KENNY PHAM
This page provides the complete NPI Profile along with additional information for Kenny Pham, a provider established in Dallas, Texas with a medical specialization in Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1851012843 assigned on September 2022. The practitioner's primary taxonomy code is 133VN1004X with license number 86370785 (). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1851012843 Verify this NPI
- Provider Name
- KENNY PHAM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1935 MEDICAL DISTRICT DR DALLAS, TX 75235
- Location Phone
- (214) 456-6287
- Location Fax
- (214) 456-6287
- Mailing Address
- 1935 MEDICAL DISTRICT DR DALLAS, TX 75235
- Mailing Phone
- (713) 505-6265
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-07-2022
- Last Update Date
- 09-10-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered Nutrition, Pediatric
- Taxonomy Code
- 133VN1004X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 86370785
- Taxonomy Description
- An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851012843, enumerated as an "individual" on September 07, 2022.
The provider is located at 1935 MEDICAL DISTRICT DR DALLAS, TX 75235 and the phone number is (214) 456-6287.
Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.
