Kc Dietitian LLC

NPI #1891124061 in Smithville, Missouri

Provider Information

NPI Number
1891124061
Entity Type
Organization
Organization Name
Kc Dietitian LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
Nov 7, 2013
Last Updated
Nov 7, 2013

Practice Location

Address
1103 S US HIGHWAY 169
ZIP Code
64089-9322
Phone
(913) 484-9000

Authorized Official

Name
MICHELLE L KRUSE, RDN, LD
Title
OWNER
Phone
(913) 484-9000

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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