Individual
SHARON BURGOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2807 AVENUE A, APT B, DODGE CITY, KS 67801-2215
(620) 430-0403
Mailing address
2807 AVENUE A, APT B, DODGE CITY, KS 67801-2215
(620) 430-0403
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1620
KS
133V00000X
Registered Dietitian
924032
KS
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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