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Contact Information

MALLORY M GRASSMUCK, MS, RD, LD
5440 W 110TH STREET
SUITE 300
OVERLAND PARK, KS66211
 Phone: 913-279-0226
 Fax: 913-273-5131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MALLORY M GRASSMUCK · (Female)

NPI # 1992066351
Status Active
Credentials MS, RD, LD
Entity Individual
Enumeration date 06/01/2012
Last updated 01/06/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 1699
  • MO License # 2011034424
  • SC License # 2931
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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