| NPI | 1437867058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN DAM Manager 816-867-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care | |
| 171400000X Health & Wellness Coach | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2023-09-02 |