Organization
SOUTHEAST KANSAS DIABETES EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL JEAN SHINKLE RD LD CDE (OWNER)
(620) 288-0774
Entity
Organization
Contact information
Practice address
314 N 7TH ST, FREDONIA, KS 66736-1337
(620) 288-0774
Mailing address
8220 ELK RD, FREDONIA, KS 66736-7460
(620) 288-0774
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1832
KS
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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