Organization
KC DIETITIAN LLC
Active
Other names
My Dietitian's Kitchen
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L KRUSE RDN, LD (OWNER)
(913) 484-9000
Entity
Organization
Contact information
Practice address
1103 S US HIGHWAY 169, SMITHVILLE, MO 64089-9322
(913) 484-9000
Mailing address
1700 NE 181ST ST, SMITHVILLE, MO 64089-9503
(913) 484-9000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2013038256
MO
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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