Individual
STACY MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-3500
Mailing address
20333 WEST 151ST ST., OLATHE, KS 66061-7211
(913) 791-3500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1433
KS
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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