NPI | 1588108609 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL SIDWELL Office Manger 859-268-8190 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 164848) |
Enumeration Date | 2016-12-08 |
Last Update Date | 2016-12-08 |