Individual
JESSICA COMBS CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1548 FLEMISHBOND PATH, LEXINGTON, KY 40509-8706
(859) 595-3638
Mailing address
1548 FLEMISHBOND PATH, LEXINGTON, KY 40509-8706
(859) 595-3638
(859) 595-3638
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
121391
KY
133V00000X
Registered Dietitian
ND7422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2551
KY DIETITIANS AND NUTRITIONISTS LICENSE
KY
Enumeration date
07/09/2014
Last updated
10/07/2024
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