Provider Demographics
NPI:1578661757
Name:THOMPSON, VALERIE ELAINE (RD,LD)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ELAINE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12250 S ALBERVAN ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5939
Mailing Address - Country:US
Mailing Address - Phone:913-829-6195
Mailing Address - Fax:
Practice Address - Street 1:20335 W 151ST ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7234
Practice Address - Country:US
Practice Address - Phone:913-791-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1277133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered