Provider Demographics
NPI:1558782136
Name:KLEIN, ABBY (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:3901 RAINBOW BLVD. MS 4004
Mailing Address - Street 2:KU PEDIATRICS DEPARTMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6300
Mailing Address - Fax:913-588-6288
Practice Address - Street 1:3901 RAINBOW BLVD. MS 4004
Practice Address - Street 2:KU PEDIATRICS DEPARTMENT
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6300
Practice Address - Fax:913-588-6288
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1883133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered