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NPI Code Detail

MEDICARE: MICHELLE C RIGGS RDN, LD

MEDICARE: MICHELLE C RIGGS RDN, LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian2531KS

General Provider Information

NPI Number : 1457944100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE C RIGGS RDN, LD
Provider Business Mailing Address
First Line : 306 N ROCK RD STE 30
Second Line :
City : WICHITA
State : KS
Zip : 67206-2256
Country : US
Telephone Number : 316-351-8443
Fax Number : 888-690-5185
Provider Business Practice Location Address
First Line : 306 N ROCK RD STE 30
Second Line :
City : WICHITA
State : KS
Zip : 67206-2256
Country : US
Telephone Number : 316-351-8443
Fax Number : 888-690-5185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2021
Last Update Date : 11/03/2024

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