Traci Bolin, Rdn, Ld LLC

NPI #1831595560 in Wichita, Kansas

Provider Information

NPI Number: 1831595560
Entity Type: Organization
Organization Name: Traci Bolin, Rdn, Ld LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Nov 6, 2014
Last Updated: Dec 30, 2014

Practice Location

Address: 14218 W BLUEGRASS CT
City: Wichita
State: Kansas
ZIP Code: 67235-8065
Phone: (316) 312-6388

Authorized Official

Name: MRS. TRACI D BOLIN, RDN, LD
Title: REGISTERED DIETITIAN
Phone: (316) 312-6388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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