Individual
SUSAN GAYLE NEWBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.N.S.D.
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4371
Mailing address
13620 KING ST, APARTMENT 926, OVERLAND PARK, KS 66221-8107
(913) 851-3991
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000491
KS
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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