Individual
CASEY FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LMNT
Contact information
Practice address
7831 CHICAGO CT, OMAHA, NE 68114-3654
(402) 354-1230
(402) 354-1235
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-5677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1515
NE
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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