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NPI 1144866401 · live from the CMS NPI Registry

Scott William Brown, RDN, LDN

Dietitian, Registered in Liberty, MO. National Provider Identifier 1144866401, active.

NPI record

NPI1144866401 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location109 N Blue Jay Dr # 1384, Liberty, MO 64068
Practice phone816-792-3210
Mailing address109 N Blue Jay Dr, Liberty, MO 64068
EnumeratedNovember 21, 2019
Last updatedNovember 21, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X2019044162 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.