Individual
MS. MARY JANE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 254-5701
Mailing address
697 KENOVA TRCE, LEXINGTON, KY 40511-8855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1168
KY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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