Individual
MADISON DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 945-9754
Mailing address
15815 W 89TH ST, LENEXA, KS 66219-2728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2015031008
MO
133V00000X
Registered Dietitian
Primary
2025
KS
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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