Healthcare Provider Details

I. General information

NPI: 1689837536
Provider Name (Legal Business Name): MARGARET K KRILEY RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD CHILDREN'S MERCY HOSPITAL
KANSAS CITY MO
64108
US

IV. Provider business mailing address

2401 GILLHAM RD CHILDREN'S MERCY HOSPITAL
KANSAS CITY MO
64108
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3995
  • Fax:
Mailing address:
  • Phone: 816-234-3995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number2001012175
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: