# KENDRAS KUSTOM NUTRITION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063297711
- **Authorized official:** MRS. KENDRA DAWN HAYES RD, LD (DIETITIAN)
- **Authorized official phone:** (816) 408-9225

## Contact information

- **Practice address:** 15445 METCALF AVE, OVERLAND PARK, KS 66223-2801
- **Practice address phone:** (913) 513-3640
- **Practice address fax:** (913) 273-1715
- **Mailing address:** 15445 METCALF AVE, OVERLAND PARK, KS 66223-2801
- **Mailing address phone:** (913) 513-3640
- **Mailing address fax:** (913) 273-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | Yes |
| 133V00000X | Registered Dietitian | — | — | Yes |
| 251K00000X | Public Health or Welfare Agency | — | — | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 02/02/2026