Kelly Lynn Tracy in Kansas City - Nutrition, Pediatric
Kelly Lynn Tracy - NPI 1679736417
Kelly Lynn Tracy is a Nutrition, Pediatric in Kansas City, Missouri. Kelly Lynn Tracy practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Kelly Lynn Tracy is 1679736417. The last update date is 2008-07-02.
Kelly Lynn Tracy's current location address is 2401 Gillham Rd, Kansas City, Missouri. You can contact this provider via phone number 8169836353. The mailing address for Kelly Lynn Tracy is 2401 Gillham Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lynn Tracy |
|---|---|
| Address | 2401 Gillham Rd, Kansas City, Missouri |
| Phone Number | 8169836353 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD/LD |
NPI Number Detail
| NPI Number | 1679736417 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 2401 Gillham Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641084619 |
| Phone Number | 8169836353 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 2008002033 |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Lynn Tracy by the Centers for Medicare & Medicaid Services?
The Kelly Lynn Tracy has been assigned the NPI (National Provider Identifier) 1679736417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Kelly Lynn Tracy is geographically located?
The Kelly Lynn Tracy is physically situated at the following location: 2401 Gillham Rd, Kansas City, MO, 641084619.
What is Kelly Lynn Tracy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly Lynn Tracy is Nutrition, Pediatric, and the taxonomy code that classifies this field of practice is 133Vn1004X.
On what date did the Kelly Lynn Tracy receive the assignment of its 1679736417 from the Centers for Medicare & Medicaid Services?
The Kelly Lynn Tracy was issued its 1679736417 by the Centers for Medicare & Medicaid Services on 2008-07-02.
When was the information pertaining to Kelly Lynn Tracy most recently updated or revised?
The details related to Kelly Lynn Tracy, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-02.
NPI Number: 1417950320
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