Individual
MS. MARY E. UPDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
26568 SPRING LAKE TRL, KIRKSVILLE, MO 63501-7613
(660) 665-1436
(660) 665-8949
Mailing address
26568 SPRING LAKE TRL, KIRKSVILLE, MO 63501-7613
(660) 665-1436
(660) 665-8949
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001024034
MO
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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