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Organization
TOP NUTRITION & PERFORMANCE, LLC
Active
Organization
TOP NUTRITION & PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A ROBERTS II MA, RD, LDN (OWNER/ LEAD DIETITIAN)
(618) 206-8302
Entity
Organization
Contact information
Practice address
922 TALON DR STE A, O FALLON, IL 62269-1848
(618) 206-8302
Mailing address
922 TALON DR STE A, O FALLON, IL 62269-1848
(618) 206-8302
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
NULL
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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