Organization
KANSAS CITY DIETITIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY FRAZIER MS, RD, LD (OWNER)
(816) 695-8245
Entity
Organization
Contact information
Practice address
6240 W 156TH ST, OVERLAND PARK, KS 66223-3621
(816) 695-8245
(844) 692-5186
Mailing address
6801 W 121ST ST STE 121, OVERLAND PARK, KS 66209-2005
(816) 695-8245
(844) 692-5186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043650609
NPI
—
01
—
1417203076
NPI
—
01
—
1417388133
NPI
—
01
—
1891101309
NPI
—
Enumeration date
08/21/2019
Last updated
05/23/2021
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