Individual
LEA MARIE HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
219 S OLD MANOR RD, WICHITA, KS 67218-1610
(316) 761-1759
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86080143
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2321
KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES
KS
Enumeration date
02/07/2023
Last updated
02/07/2023
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