Tracy, Kelly Lynn

Tracy, Kelly Lynn is an sole proprietor health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Tracy, Kelly Lynn can be contacted via phone (816) 983-6353.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 983-6353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 2008002033 Missouri

Profile Details

NPI number 1679736417
LBN Legal business name Tracy, Kelly Lynn
Credentials RD/LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 2008 - about 16 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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