Marty J Glenn in Leavenworth - Dietitian, Registered

Marty J Glenn - NPI 1710926415

Marty J Glenn is a Dietitian, Registered in Leavenworth, Kansas. Marty J Glenn practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Marty J Glenn is 1710926415. The last update date is 2007-07-08.

Marty J Glenn's current location address is 4101 S 4th St, Leavenworth, Kansas. You can contact this provider via phone number 9136822000. The mailing address for Marty J Glenn is 4101 S 4th St, Leavenworth, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Marty J Glenn
Address 4101 S 4th St, Leavenworth, Kansas
Phone Number 9136822000
Fax Number
Sole Proprietor X
Credentials MS, RD, LD

NPI Number Detail

NPI Number 1710926415
Provider Enumeration Date 2006-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4101 S 4th St
City Leavenworth
State Kansas (KS)
Post Code 660485014
Phone Number 9136822000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 832
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Marty J Glenn

What is the unique provider identifier assigned to Marty J Glenn?

The Marty J Glenn has been issued the NPI (National Provider Identifier) 1710926415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Marty J Glenn's facilities are situated?

The facilities of Marty J Glenn are physically located at the following address: 4101 S 4Th St, Leavenworth, KS, 660485014.

What is the area of specialization for Marty J Glenn, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marty J Glenn is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1710926415 to Marty J Glenn?

The Marty J Glenn received its 1710926415 assignment from the Centers for Medicare & Medicaid Services on 2006-06-06.

When was the Marty J Glenn's information last updated?

The Marty J Glenn's information was last updated on 2007-07-08.

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