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Individual

EMILY IONE LEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
750 W D AVE, KINGMAN, KS 67068-1266
(620) 532-0132
Mailing address
2148 S 279TH ST W, GARDEN PLAIN, KS 67050-9071
(620) 532-0132

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2344
KS

Other

Enumeration date
08/13/2019
Last updated
08/13/2019
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