Individual
MS. CAROLE DIANE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1722 COMANCHE RD, MCPHERSON, KS 67460-7075
(620) 345-7113
Mailing address
1722 COMANCHE RD, MCPHERSON, KS 67460-7075
(620) 345-7113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1387
KS
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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