Individual
MISS REBECCA NICOLE BOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
4963 W 135TH ST, LEAWOOD, KS 66224-6901
(913) 814-8222
Mailing address
15583 BALLENTINE ST, OVERLAND PARK, KS 66221-9785
(913) 669-0708
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
1775
KS
Other
Enumeration date
05/09/2013
Last updated
09/22/2014
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