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Individual
JESSICA COMBS CAUDILL
Active
Individual
JESSICA COMBS CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
121391
KY
133V00000X
Registered Dietitian
ND7422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2551
KY DIETITIANS AND NUTRITIONISTS LICENSE
KY
Enumeration date
07/09/2014
Last updated
10/07/2024
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