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Individual

MS. JANE T BYRNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R. D. ,L. D.

Contact information

Practice address
1709 S ROCK RD, WICHITA, KS 67207-5150
(316) 682-7411
(316) 689-6688
Mailing address
1709 S ROCK RD, WICHITA, KS 67207-5150
(316) 682-7411
(316) 689-6688

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
655883
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101639
MEDICARE PROVIDER #
KS
Enumeration date
10/18/2007
Last updated
10/18/2007
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