Individual
MS. MARY BETH HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1700 SW 7TH ST, TOPEKA, KS 66606-2489
(785) 295-8146
(785) 295-8194
Mailing address
415 CEDAR ST, LYNDON, KS 66451-9552
(785) 828-3218
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1017
KS
Other
Enumeration date
03/18/2008
Last updated
03/19/2008
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