Individual
ELLEN MARIE CARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2728 N HOOVER RD, WICHITA, KS 67205-1031
(316) 413-5263
Mailing address
2728 N HOOVER RD, WICHITA, KS 67205-1031
(316) 413-5263
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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