Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICKI M RAAB, RD
ActivePediatric Nutrition · ELLISVILLE, MO
Registration Details
- NPI Number
- 1578741633
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2008 (18.222057228901 yrs)
- Last Updated
- Sep 2, 2008
- License
-
164.003937 (IL)
Practice Information
- Address
-
254 CLARKSON RDELLISVILLE, MO, 630112245Browse MO providers · Browse ZIP 63011
- Phone
- 6362277337
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in ELLISVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| AMY LYNN KELLY | RD | 1811142433 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.