Individual
MADISON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
6743 W 135TH ST, OVERLAND PARK, KS 66223-8060
(515) 577-1868
Mailing address
6743 W 135TH ST APT 409, OVERLAND PARK, KS 66223-8035
(515) 577-1868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88672
TX
Other
Enumeration date
09/21/2024
Last updated
11/24/2024
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