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Organization

FIT AND WELL WITH KEL

Active
Parent organization
FIT AND WELL WITH KEL
Organization subpart
Yes

Provider details

NPI number
Legal business name
FIT AND WELL WITH KEL
Authorized official
KELLY LAUREN BUKOVAC RDN (OWNER/LEAD DIETITIAN)
(913) 515-9554
Entity
Organization

Contact information

Practice address
12380 SUMMIT ST, KANSAS CITY, MO 64145-1174
(913) 515-9554
Mailing address
12380 SUMMIT ST, KANSAS CITY, MO 64145-1174
(913) 515-9554

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
01/09/2026
Last updated
01/09/2026
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