| NPI | 1568950384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA LYNN OGBURN Registered Dietitian 620-664-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1678) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-05-04 |