Provider Demographics
NPI:1235542168
Name:FOILES, AMANDA (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:FOILES
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:SPALDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7920 W 92ND PL
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3106
Mailing Address - Country:US
Mailing Address - Phone:913-620-4626
Mailing Address - Fax:
Practice Address - Street 1:7920 W 92ND PL
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3106
Practice Address - Country:US
Practice Address - Phone:913-620-4626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1784133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered