Individual
TRACY L GOODLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, RDN, LD
Contact information
Practice address
5844 NW BARRY RD STE 120, KANSAS CITY, MO 64154-1483
(816) 932-7900
(816) 472-0038
Mailing address
901 E 104TH ST # MS 400, KANSAS CITY, MO 64131-4517
(816) 502-7000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2011011540
MO
133V00000X
Registered Dietitian
2733
KS
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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