| NPI | 1255003380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA MUSSELMAN Lead Rdn 816-536-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-11-19 |