Organization
REBECCA MCCONVILLE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MCCONVILLE MS, RD, LDN (OWNER)
(816) 804-6599
Entity
Organization
Contact information
Practice address
326 SE DOUGLAS ST STE B, LEES SUMMIT, MO 64063-2713
(816) 804-6599
Mailing address
326 SE DOUGLAS ST STE B, LEES SUMMIT, MO 64063-2713
(816) 804-6599
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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