Individual
CAROL J EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5830 NW BARRY RD, KANSAS CITY, MO 64154-2778
(816) 880-6742
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2002009696
MO
Other
Enumeration date
01/30/2007
Last updated
03/29/2018
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