Provider Demographics
NPI:1932839446
Name:WRIGHT, KARLEE MCKENZIE (MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:KARLEE
Middle Name:MCKENZIE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials: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 1:619 S FLEISHEL AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-2004
Mailing Address - Country:US
Mailing Address - Phone:903-606-5800
Mailing Address - Fax:903-606-4848
Practice Address - Street 1:619 S FLEISHEL AVE STE 206
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2004
Practice Address - Country:US
Practice Address - Phone:903-606-5800
Practice Address - Fax:903-606-4848
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT86711133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered