Provider Demographics
NPI:1225082324
Name:YARROW, LINDA KAYE (RD,LD,CDE,PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:KAYE
Last Name:YARROW
Suffix:
Gender:F
Credentials:RD,LD,CDE,PHD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:KAYE
Other - Last Name:MCGINLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:CLAY CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:67432-0512
Mailing Address - Country:US
Mailing Address - Phone:785-632-2144
Mailing Address - Fax:785-632-3352
Practice Address - Street 1:617 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:CLAY CENTER
Practice Address - State:KS
Practice Address - Zip Code:67432-1564
Practice Address - Country:US
Practice Address - Phone:785-632-2144
Practice Address - Fax:785-632-3352
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
130577Medicare ID - Type UnspecifiedDIETARY