Healthcare Provider Details

I. General information

NPI: 1942760871
Provider Name (Legal Business Name): HEALTHY YOU NUTRITION COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 E MEYER BLVD
KANSAS CITY MO
64132-1105
US

IV. Provider business mailing address

1905 WHITE TAIL LN
LIBERTY MO
64068-2590
US

V. Phone/Fax

Practice location:
  • Phone: 816-810-3782
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE BLUMHORST
Title or Position: DIETITIAN
Credential: RDN, LD
Phone: 816-810-3782