Individual
MRS. REBECCA L CROWLEY-KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD CNSC
Contact information
Practice address
1200 E MARSHALL ST, CHARLESTON, MO 63834-1336
(573) 683-2191
Mailing address
1200 E MARSHALL ST, CHARLESTON, MO 63834-1336
(573) 683-2191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001025549
MO
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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