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Contact Information

KIDNEY WELLCARE & COUNSELING LLC
9666 OLIVE BLVD STE 205
OLIVETTE, MO63132-3025
 Phone: 614-425-2604
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KIDNEY WELLCARE COUNSELING LLC · (Female)

NPI # 1669070892
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2020
Last updated 10/09/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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