NPI 1033717962

Jon Kuanfung

Practitioner Registered Dietitian Saint Louis, MO

Practice location

Address: 1210 S Boyle Ave, Saint Louis, MO 63110-3814
Phone: (314) 825-9146

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1033717962
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2020
Record last updated: 13 Oct 2020

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.