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NPI Code Detail

MEDICARE: MRS. KIM RATH

MEDICARE: MRS. KIM RATH
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 Dietitian2011023312MO

General Provider Information

NPI Number : 1700280047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIM RATH
Provider Business Mailing Address
First Line : 17107 PLATTSBURG RD
Second Line :
City : KEARNEY
State : MO
Zip : 64060-8387
Country : US
Telephone Number : 816-628-3310
Fax Number :
Provider Business Practice Location Address
First Line : 3027 PROSPECT AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128-1530
Country : US
Telephone Number : 816-861-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2014
Last Update Date : 10/15/2014

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