Individual
MS. MCKENZIE VAN HEERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1316 S MAIN ST, CLARION, IA 50525-2019
(515) 532-2811
Mailing address
1316 S MAIN ST, CLARION, IA 50525-2019
(515) 532-2811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
099725
IA
133V00000X
Registered Dietitian
664524
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
664524
NUTRITION/DIETETICS
WI
Enumeration date
03/01/2019
Last updated
07/23/2021
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