Individual
KRISTINA BANISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26009 W 143RD PL, OLATHE, KS 66061-7555
(913) 638-3106
Mailing address
26009 W 143RD PL, OLATHE, KS 66061-7555
(913) 638-3106
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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