MEDICARE: MS. ABIGAIL KATHRYN ESKEW RD, 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
1	133V00000X	Registered Dietitian	DT86777	TX

General Provider Information

NPI Number	:	1184223042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ABIGAIL KATHRYN ESKEW RD, LD

Provider Business Mailing Address
First Line	:	821 ALLEN ST APT 237
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-5792
Country	:	US
Telephone Number	:	816-304-0858
Fax Number	:

Provider Business Practice Location Address
First Line	:	4416 SW GRINDSTONE CIR
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-4218
Country	:	US
Telephone Number	:	816-304-0858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2020
Last Update Date	:	03/03/2026

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