Individual
ELLI L KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
16979 W 94TH ST STE D, LENEXA, KS 66219-1939
(316) 308-1208
Mailing address
4809 ROANOKE PKWY APT 606, KANSAS CITY, MO 64112-2032
(316) 308-1208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2019036337
MO
133V00000X
Registered Dietitian
Primary
2241
KS
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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