Individual
BETH HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
340 SE CHELSEA DR, LEES SUMMIT, MO 64063-2453
(816) 347-2654
Mailing address
340 SE CHELSEA DR, LEES SUMMIT, MO 64063-2453
(816) 347-2654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000357
KS
133V00000X
Registered Dietitian
2001011603
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000357
DIETITIAN LICENSE KANSAS
KS
01
—
2001011603
MISSOURI DIETITIAN LICENSCE
MO
Enumeration date
08/27/2010
Last updated
08/27/2010
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