Individual
HAVEN LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130-3212
(816) 321-3299
Mailing address
4141 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130-3212
(816) 321-3299
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2025043883
MO
133V00000X
Registered Dietitian
3426
KS
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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