Provider Demographics
NPI:1952721284
Name:DOENGES, KRISTEN ALBANI (MS, RDN, LD, CNSC)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ALBANI
Last Name:DOENGES
Suffix:
Gender:F
Credentials:MS, RDN, LD, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 LBJ FWY
Mailing Address - Street 2:CENTER III, SUITE 520
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1166
Mailing Address - Country:US
Mailing Address - Phone:972-238-1811
Mailing Address - Fax:800-888-9560
Practice Address - Street 1:8330 LBJ FWY
Practice Address - Street 2:CENTER III, SUITE 520
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1166
Practice Address - Country:US
Practice Address - Phone:972-238-1811
Practice Address - Fax:800-888-9560
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT04255133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered