| NPI | 1477257939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY ELAINE NEVILLE Owner 816-263-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-01-07 |