| Doctor Name: | SUSAN GAYLE NEWBOLD |
| NPI Number: | 1518014232 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D., L.D., C.N.S.D. |
| License Number: | 000491 |
| Business Practice Address: | 20333 W 151st St Olathe, KS - 660615350 |
| Business Phone Number: | 9137914371 |
| Business Fax Number: | |
| Mailing Address: | 13620 King St, Apartment 926 OVERLAND PARK |
| State: | KS |
| Postal Code: | 662218107 |
| Phone Number: | 9138513991 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 000491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| 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 |