Individual
JADE ALEXA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6155 OAK ST STE C, KANSAS CITY, MO 64113-2266
(515) 480-3246
Mailing address
8216 KENWOOD AVE, KANSAS CITY, MO 64131-2213
(515) 480-3246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2424
KS
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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