Provider Demographics
NPI:1720671183
Name:CHIU, DIANNE (RD)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:
Last Name:CHIU
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7823 N HICKORY CT
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-1145
Mailing Address - Country:US
Mailing Address - Phone:816-730-1795
Mailing Address - Fax:816-817-6248
Practice Address - Street 1:7823 N HICKORY CT
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-1145
Practice Address - Country:US
Practice Address - Phone:816-730-1795
Practice Address - Fax:816-817-6248
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered