# MS. BETHANY MICHELLE ROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285241166
- **Gender:** F
- **Credential:** RD, CSR, LD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | 264496 | KY | — |
| 133VN1005X | Renal Nutrition Registered Dietitian | LD.10377 | OH | Yes |

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 03/07/2025