Individual
MARY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7620 STATE LINE RD, PRAIRIE VILLAGE, KS 66208-3705
(913) 383-8303
Mailing address
7620 STATE LINE RD, PRAIRIE VILLAGE, KS 66208-3705
(913) 383-8303
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1870
KS
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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