Individual
NATALIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
5508 NW MOONLIGHT MEADOW DR, LEES SUMMIT, MO 64064-1283
(417) 209-4540
Mailing address
5508 NW MOONLIGHT MEADOW DR, LEES SUMMIT, MO 64064-1283
(417) 209-4540
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2019024877
MO
133V00000X
Registered Dietitian
2403
KS
133V00000X
Registered Dietitian
Primary
86173382
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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