Provider Demographics
NPI:1144102831
Name:MEYER, ISABELLE (RDN LD)
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:RDN LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 N ROCK RD STE 303
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2246
Mailing Address - Country:US
Mailing Address - Phone:316-361-6080
Mailing Address - Fax:
Practice Address - Street 1:240 N ROCK RD STE 303
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2246
Practice Address - Country:US
Practice Address - Phone:316-361-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered