Individual
TRACEY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN
Contact information
Practice address
6824 W 72ND TER, OVERLAND PARK, KS 66204-1920
(303) 588-9701
Mailing address
6824 W 72ND TER, OVERLAND PARK, KS 66204-1920
(303) 588-9701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86068129
KS
Other
Enumeration date
09/01/2016
Last updated
09/26/2016
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