Individual
RACE R SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LD
Contact information
Practice address
2000 OLATHE FL 5, KANSAS CITY, KS 66160-8505
(913) 588-6022
Mailing address
12490 QUIVIRA RD APT 3524, OVERLAND PARK, KS 66213-2458
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86292947
KS
Other
Enumeration date
12/11/2021
Last updated
08/21/2023
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