Provider Demographics
NPI:1861914046
Name:WEST NUTRITION CONSULTING PLLC
Entity type:Organization
Organization Name:WEST NUTRITION CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-234-3488
Mailing Address - Street 1:110 COLUMBIA ROAD 432 S
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-8806
Mailing Address - Country:US
Mailing Address - Phone:870-562-1161
Mailing Address - Fax:870-234-3488
Practice Address - Street 1:110 COLUMBIA ROAD 432 S
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-8806
Practice Address - Country:US
Practice Address - Phone:870-562-1161
Practice Address - Fax:870-234-3488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty