Individual
KAYLI STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-8324
Mailing address
2661 DOLLIVER PARK AVE, OTHO, IA 50569-7559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
079234
IA
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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