Doctor Name: | MR. RANDALL GENE EVANS |
NPI Number: | 1508298324 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, RD ,LD |
License Number: | 2012035391 |
Business Practice Address: | 3901 Rainbow Blvd Kansas City, KS - 66160 |
Business Phone Number: | 9135886208 |
Business Fax Number: | 9135880012 |
Mailing Address: | 3901 Rainbow Blvd, KANSAS CITY |
State: | KS |
Postal Code: | 66160 |
Phone Number: | 9135886208 |
Fax Number: | 9135880012 |
NPI Enumeration Date: | 08/02/2013 |
NPI Last Update Date: | 08/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2012035391 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |