Individual
AMY LYNN BROXTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSC
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-3500
Mailing address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-3500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1356
KS
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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