Provider Demographics
NPI:1912229055
Name:HINZ, RENEE JENEL (MS, RD, LS)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:JENEL
Last Name:HINZ
Suffix:
Gender:F
Credentials:MS, RD, LS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10560 BARKLEY ST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1811
Mailing Address - Country:US
Mailing Address - Phone:913-383-3464
Mailing Address - Fax:913-383-3729
Practice Address - Street 1:10560 BARKLEY ST
Practice Address - Street 2:SUITE 340
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1811
Practice Address - Country:US
Practice Address - Phone:913-383-3464
Practice Address - Fax:913-383-3729
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS895133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist