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Contact Information

KACEY E CONYERS, MS, RD, LD
1270 KOTNUM RD
WARM SPRINGS, OR97761
 Phone: 541-553-1196
 Fax: 541-553-2457
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KACEY E CONYERS · (Female)

NPI Number 1356758189
Status Active
Credentials MS, RD, LD
Entity Individual
Enumeration date 07/14/2014
Last updated 07/14/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OR License # LD-D-10163387
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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