Individual
PAULA MARIE ANTONACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9229 WARD PARKWAY, SUITE 225, KANSAS CITY, MO 64114-3311
(816) 444-5511
(816) 822-8058
Mailing address
9229 WARD PARKWAY, SUITE 225, KANSAS CITY, MO 64114-3311
(816) 537-0597
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000038
KS
133V00000X
Registered Dietitian
Primary
2001010244
MO
Other
Enumeration date
01/16/2007
Last updated
02/26/2014
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