Individual
HALEY B BJELOBRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-2412
(913) 588-6022
(913) 535-2102
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-6022
(913) 535-2102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016043593
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016043593
MISSOURI LICENSED DIETITIAN
MO
01
—
2154
KANSAS LICENSED DIETITIAN
KS
01
—
86064172
COMMISSION ON DIETETIC REGISTRATION ID
AR
Enumeration date
01/31/2018
Last updated
12/26/2023
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