Provider Demographics
NPI:1861709370
Name:WILLIAMS, TAUNYA R (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:TAUNYA
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 E SANTA FE RD
Mailing Address - Street 2:
Mailing Address - City:AGRA
Mailing Address - State:KS
Mailing Address - Zip Code:67621-2540
Mailing Address - Country:US
Mailing Address - Phone:785-638-2884
Mailing Address - Fax:
Practice Address - Street 1:1150 STATE ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:KS
Practice Address - Zip Code:67661-1743
Practice Address - Country:US
Practice Address - Phone:785-543-5226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS885133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered