Individual
HOLLY KUCKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
300 UTAH ST, HIAWATHA, KS 66434-2314
(785) 742-2131
Mailing address
908 N 11TH ST, SENECA, KS 66538-1672
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2116
KS
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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