Individual
MCKENZIE TAYLOR DERENNAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1986
Mailing address
6343 FYLER AVE, SAINT LOUIS, MO 63139-2026
(314) 623-9094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2024013834
MO
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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