Greenleaf-Kisner, Valarie Diane

Greenleaf-Kisner, Valarie Diane is an sole proprietor health care provider with primary practice located at 9415 E Harry St Ste 407 , Wichita KS 67207-5083. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Greenleaf-Kisner, Valarie Diane can be contacted via phone (316) 253-2604.

Contact Information

Primary practice address
9415 E Harry St Ste 407 Wichita KS 67207-5083
Phone: (316) 253-2604
Fax: (316) 634-3789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 00047 Kansas

Profile Details

NPI number 1386726057
LBN Legal business name Greenleaf-Kisner, Valarie Diane
Credentials MS, RD, LD,CDCES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Sep 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386726057 NPPES
Kansas MEDICAID 100210590F
Kansas Other 130432

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