Individual
KELLY JEANNE STANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-3368
(712) 225-6870
Mailing address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-3368
(712) 225-6870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1065308
MN
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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