Organization
RESTORATIVE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY ELAINE NEVILLE RDN,LDN (OWNER)
(816) 263-2553
Entity
Organization
Contact information
Practice address
213 W MASON ST, ODESSA, MO 64076-1262
(816) 263-2553
Mailing address
615 W KIRKPATRICK ST, ODESSA, MO 64076-1631
(816) 263-2553
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
03/29/2023
Last updated
01/07/2024
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