Individual
MRS. KRISTY LEE BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
365 RIVER DRIVE, IRVINE, KY 40336-0115
(606) 723-5181
(606) 723-5254
Mailing address
PO BOX 115, IRVINE, KY 40336-0115
(606) 723-5181
(606) 723-5254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY1702
KY
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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