NPI 1922307685 · live from the CMS NPI Registry
Lauren Kristen Bonafide, R.D., L.D.
Dietitian, Registered in North Kansas City, MO. National Provider Identifier 1922307685, active.
NPI record
| NPI | 1922307685 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2800 Clay Edwards Dr, North Kansas City, MO 64116 |
| Practice phone | 816-691-2000 |
| Enumerated | March 21, 2011 |
| Last updated | March 21, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2004023865 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.