KELLY LYNN TRACY

KANSAS CITY, MO
NPI1679736417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: MO  2008002033)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
-- KELLY LYNN TRACY RD/LD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-983-6353
Mailing Address
-- KELLY LYNN TRACY RD/LD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-983-6353