Individual
MRS. VICKI J ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSD
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 858-3470
(316) 858-3458
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200607790A
—
KS
Enumeration date
05/04/2009
Last updated
03/02/2017
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