Individual
IVY LEE SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
2195 HARRODSBURG RD STE 125, LEXINGTON, KY 40504-3543
(859) 323-2232
(859) 257-1078
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-3270
(941) 917-3275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
123169
KY
133V00000X
Registered Dietitian
ND9738
FL
163WD0400X
Diabetes Educator Registered Nurse
294093
KY
Other
Enumeration date
07/02/2007
Last updated
10/11/2024
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