Individual
MS. PENNY ANN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2195
(913) 676-2511
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2195
(913) 676-2511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
441
KS
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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