Healthy Green Nutrition, LLC

NPI #1568839868 in Wichita, Kansas

Provider Information

NPI Number: 1568839868
Entity Type: Organization
Organization Name: Healthy Green Nutrition, LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Aug 22, 2015
Last Updated: Sep 20, 2021

Practice Location

Address: 9415 E HARRY ST STE 407
City: Wichita
State: Kansas
ZIP Code: 67207-5083
Phone: (316) 253-2604

Authorized Official

Name: VALARIE DIANE GREENLEAF-KISNER, MS, RDN, LD, CDCES
Title: OWNER
Phone: (316) 253-2604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Dietitian, Registered	133V00000X	Primary

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