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Individual

MS. SUSAN L PARKS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
4101 S 4TH ST, EASTERN KANSAS HEALTH CARE SYSTEM, L-120, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4276
Mailing address
4101 S 4TH ST, EASTERN KANSAS HEALTH CARE SYSTEM, L-120, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4276

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000348
KS

Other

Enumeration date
04/20/2006
Last updated
07/08/2007
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