Individual
GRETCHEN HUEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12140 NALL AVE, SUITE 100, OVERLAND PARK, KS 66209-2503
(913) 451-8500
Mailing address
12140 NALL AVE, SUITE 100, OVERLAND PARK, KS 66209-2503
(913) 451-8500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
773
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012042315
MISSOURI LICENSE
MO
01
—
773
KANSAS LICENSE
KS
Enumeration date
12/02/2013
Last updated
12/02/2013
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