Provider Demographics
NPI:1518292390
Name:BEYER, PETER L (RD)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:L
Last Name:BEYER
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:DIETETICS AND NUTRITION KUMC 4013
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2937
Mailing Address - Country:US
Mailing Address - Phone:913-588-5358
Mailing Address - Fax:913-588-8946
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:DIETETICS AND NUTRITION KUMC 4013
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2937
Practice Address - Country:US
Practice Address - Phone:913-588-5358
Practice Address - Fax:913-588-8946
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS7133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered