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Individual

LINDA BIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
1404 SW 24TH ST, BLUE SPRINGS, MO 64015-5243
(816) 228-1044
Mailing address
1404 SW 24TH ST, BLUE SPRINGS, MO 64015-5243

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001018114
MO
133V00000X
Registered Dietitian
960
KS

Other

Enumeration date
07/03/2008
Last updated
07/03/2008
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