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NPI Code Detail

MEDICARE: RD2GO, LLC

MEDICARE: RD2GO, LLC
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 Dietitian

General Provider Information

NPI Number : 1881402329
Entity Type Code : Organization
Provider Name (Legal Business Name) : RD2GO, LLC
Provider Business Mailing Address
First Line : 4307 E FARM ROAD 66
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-8379
Country : US
Telephone Number : 417-501-9090
Fax Number :
Provider Business Practice Location Address
First Line : 4307 E FARM ROAD 66
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-8379
Country : US
Telephone Number : 417-501-9090
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LYDIA BROWNING
Credential : RD/RDN
Telephone Number : 417-408-0652
Provider Enumeration Date : 12/30/2024
Last Update Date : 12/30/2024

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Directions to “RD2GO, LLC ” Practice Location

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