Provider Demographics
NPI:1629695465
Name:HOU, CASEY KWAN (MPH, RD, CNSC)
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:KWAN
Last Name:HOU
Suffix:
Gender:F
Credentials:MPH, RD, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 FOOTHILLS VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-7265
Mailing Address - Country:US
Mailing Address - Phone:702-612-6882
Mailing Address - Fax:
Practice Address - Street 1:1420 FOOTHILLS VILLAGE DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-7265
Practice Address - Country:US
Practice Address - Phone:702-612-6882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV32910DI-0133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty