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Individual

MS. JANET H STUCKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D. L.D.

Contact information

Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 858-3470
(316) 858-3458
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1013
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200593460A
KS
Enumeration date
08/29/2008
Last updated
07/10/2012
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