Individual
MRS. JANET MARIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-4629
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-3353
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2003011965
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003011965
LICENSED DIETITIAN
MO
01
—
22220570
CERTIFIED DIABETES EDUCAT
MO
01
—
384916
REGISTERED DIETITIAN
MO
Enumeration date
07/27/2006
Last updated
07/08/2007
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