Individual
MADALINE KORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(913) 620-6083
Mailing address
445 NW 21ST RD, WARRENSBURG, MO 64093-7419
(913) 620-6083
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2022032398
MO
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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