Individual
SALLY ANN HARRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
314 E MCKAY ST, FRONTENAC, KS 66763-2247
(620) 240-3416
Mailing address
314 E MCKAY ST, FRONTENAC, KS 66763-2247
(620) 240-3416
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
I DO NOT HAVE ANY OTHER IDENTIFIERS
—
Enumeration date
11/19/2018
Last updated
11/19/2018
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