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Individual

EMILY ALBERTA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 704-9453
Mailing address
179 DRAGOON ST, FORT LEAVENWORTH, KS 66027-1289
(931) 801-4636

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
166852
KY

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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