Individual
MOLLY FORKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5401 ROCK CHALK DR APT 13308, LAWRENCE, KS 66049-5054
(541) 207-2256
Mailing address
5401 ROCK CHALK DR APT 13308, LAWRENCE, KS 66049-5054
(541) 207-2256
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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