NPI 1831595560

Traci Bolin, Rdn, Ld LLC

Organisation Registered Dietitian Wichita, KS

Practice location

Address: 14218 W Bluegrass CT, Wichita, KS 67235-8065
Phone: (316) 312-6388

Authorised official

Name: Traci D Bolin
Title: Registered Dietitian
Phone: (316) 312-6388

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1966 (KS)

Other Dietitian, Registered providers in Kansas →

Registry record

NPI: 1831595560
Entity type: Organization
NPI issued: 6 Nov 2014
Record last updated: 30 Dec 2014

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.