NPI 1568839868

Healthy Green Nutrition, LLC

Organisation Registered Dietitian Wichita, KS

Practice location

Address: 9415 E Harry St STE 407, Wichita, KS 67207-5083
Phone: (316) 253-2604
Fax: (316) 634-3789
Mailing address: 12210 E Boxthorn St, Wichita, KS 67226-8263

Authorised official

Name: Valarie Diane Greenleaf-Kisner
Title: Owner
Phone: (316) 253-2604

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 717684 (KS)

Other Dietitian, Registered providers in Kansas →

Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 20220205 (KS)

Other Nutritionist providers in Kansas →

Registry record

NPI: 1568839868
Entity type: Organization
NPI issued: 22 Aug 2015
Record last updated: 20 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.