NPI 1962677252

Kelly D Paneitz, RDLD

Practitioner Registered Dietitian Sullivan, MO

Practice location

Address: 751 Sappington Bridge Rd Missouri Baptist Hospital - Sullivan, Sullivan, MO 63080-2354
Phone: (573) 468-1347
Fax: (573) 468-1125

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2001012812 (MO)

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1962677252
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2008
Record last updated: 28 Apr 2008

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.