Individual
KASSIDY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
102 SW 2ND ST, LEES SUMMIT, MO 64063-2306
(816) 804-6599
Mailing address
1222 JAMIE BROOK LN, PRINCETON JUNCTION, NJ 08550-5347
(316) 665-2811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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