Provider Demographics
NPI:1982977591
Name:BROWN, K'LAYN (RD, LD)
Entity Type:Individual
Prefix:
First Name:K'LAYN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 DECKER DR
Mailing Address - Street 2:STE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-4129
Mailing Address - Country:US
Mailing Address - Phone:832-237-3500
Mailing Address - Fax:281-897-9906
Practice Address - Street 1:320 DECKER DR
Practice Address - Street 2:STE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4129
Practice Address - Country:US
Practice Address - Phone:888-320-1776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82064133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered