Individual provider · Type 1 NPI

Connie Jean Wildt, RD, LD

Registered Dietitian · St. Louis, MO

NPI number 1356583504 Active

Practice location

615 S. New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-4998 Map

Fax (314) 251-7247

Mailing address

615 S. New Ballas Road, St. John's Mercy Medical Center- Jfk Clinic
St. Louis, MO 63141-8277

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X2001024181 (MO)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1356583504

Connie Jean Wildt, RD, LD's National Provider Identifier is 1356583504, issued on Apr 2, 2009. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 2, 2009.