Individual
ALISSA M MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 252-1520
(620) 252-1508
Mailing address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 252-1520
(620) 252-1508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1434
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1434
KS LICENSE
KS
Enumeration date
11/19/2007
Last updated
11/19/2007
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