Most Relevant Information
Provider Data
| NPI Number: | 1003269291 |
| Provider Name: | SYDNEY JUERGENS RD, LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 2016000305 |
Most Important Dates
| Enumeration Date: | 07/22/2016 |
| Last Updated: | 12/28/2016 |
Provider Practice Location
2800 CLAY EDWARDS DR
KANSAS CITY
MO
641163220
Practice Location Phone/Fax
| Phone: | 8166918548 |
| Fax: |
Provider Mailing Location
10391A N CHERRY DR APT 10D
KANSAS CITY
MO
641551868
Provider Mailing Phone/Fax
| Phone: | 8162621618 |
| Fax: |