Provider Demographics
NPI:1154834315
Name:MAYHEW, LINDSEY (MS, RDN, LDN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:MAYHEW
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5051 INDIAN CREEK PKWY APT 306
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-4100
Mailing Address - Country:US
Mailing Address - Phone:856-237-5226
Mailing Address - Fax:
Practice Address - Street 1:5051 INDIAN CREEK PKWY APT 306
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-4100
Practice Address - Country:US
Practice Address - Phone:856-237-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS86066928133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered