Individual
BETHANY FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
6240 W 156TH ST, OVERLAND PARK, KS 66223-3621
(816) 695-8245
Mailing address
6240 W 156TH ST, OVERLAND PARK, KS 66223-3621
(816) 695-8245
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1879
KS
133V00000X
Registered Dietitian
2013042149
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417388133
NPI
—
Enumeration date
12/05/2013
Last updated
08/21/2019
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