Individual
MARY K DENYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.L.D
Contact information
Practice address
18421 S HIGHWAY 215, STOCKTON, MO 65785-7330
(417) 276-4450
Mailing address
18421 S HIGHWAY 215, STOCKTON, MO 65785-7330
(417) 276-4450
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
622
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130637
MEDICARE PROVIDER NUMBER
KS
Enumeration date
12/04/2007
Last updated
12/04/2007
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