Individual
MRS. LAUREN KRISTEN BONAFIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 691-2000
Mailing address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 691-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2004023865
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133V00000X
TAXONOMY CODE
MO
Enumeration date
03/21/2011
Last updated
03/21/2011
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