SearchMissouri172A00000X

Corey Johnson, DIETARY MANAGER

NPI 1740029792 · on the registry since 2024 · sole proprietor

Practice

Address
3442 Wabash Ave
Kansas City, MO 64109
Phone
(816) 215-0334

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri