Individual
AMANDA MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
801 E DOUGLAS AVE, WICHITA, KS 67202-3548
(316) 217-2984
(620) 869-9032
Mailing address
109 E PINE ST, HESSTON, KS 67062-9055
(316) 217-2984
(620) 869-9032
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2704
KS
133V00000X
Registered Dietitian
3760
TN
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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