Individual
SALLY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., R.D., L.D.
Contact information
Practice address
8100 MARTY ST STE 115, OVERLAND PARK, KS 66204-3737
(913) 648-2568
(913) 648-6322
Mailing address
5307 W 80TH TER, PRAIRIE VILLAGE, KS 66208-4916
(913) 648-2568
(913) 648-6322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000040
KS
Other
Enumeration date
05/16/2007
Last updated
01/07/2014
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