Individual
CAROLYN SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1800 NW SHAMROCK CT, LEES SUMMIT, MO 64081-1600
(816) 914-6288
(877) 731-3326
Mailing address
1800 NW SHAMROCK CT, LEES SUMMIT, MO 64081-1600
(816) 425-3220
(866) 592-5130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001010320
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3501266873
—
MO
Enumeration date
03/20/2010
Last updated
10/13/2023
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