Individual
MISS CAROLYN MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
950 BRECKENRIDGE LN STE 10, LOUISVILLE, KY 40207-5931
(502) 894-9499
(502) 894-9595
Mailing address
3008 W HIGHWAY 42, LA GRANGE, KY 40031-7527
(615) 306-0294
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
124752
KY
133V00000X
Registered Dietitian
1685
TN
133V00000X
Registered Dietitian
2075
KY
Other
Enumeration date
02/01/2008
Last updated
03/28/2024
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