Individual
CAROLYN ELIZABETH MENTEL
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
4021 N WESTBROOK CT, MAIZE, KS 67101-3755
(316) 259-2718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1511
KS
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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