Individual
MRS. KAITLYN KHOSRAVIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 648-2510
Mailing address
3612 S OLD PINK HILL RD, OAK GROVE, MO 64075-7326
(816) 929-4460
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2021019030
MO
133V00000X
Registered Dietitian
2685
KS
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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