KELLY HAWTHORNE

LOUISVILLE, KY
NPI1740646322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: KY  BDNDTN00221280)
Enumeration Date2016-01-12
Last Update Date2016-01-12
Business Address
KELLY HAWTHORNE RD, LD
3801 SPRINGHURST BLVD STE 104
LOUISVILLE, KY 40241-6137
Phone number: 502-594-0378
Mailing Address
KELLY HAWTHORNE RD, LD
4008 DEER CREEK RD
LOUISVILLE, KY 40241-1578
Phone number: 502-594-0378
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