Individual
DENISE MICHELLE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12322 W 55TH ST, SHAWNEE, KS 66216-1404
(913) 645-0031
Mailing address
12322 W 55TH ST, SHAWNEE, KS 66216-1404
(913) 645-0031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2020017999
MO
133V00000X
Registered Dietitian
Primary
2492
KS
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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