Individual
MRS. TARA LYNN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3010 TAYLOR SPRINGS DR, LOUISVILLE, KY 40220-1587
(502) 458-4588
Mailing address
2727 SHIPPEN AVE # 2, LOUISVILLE, KY 40206-2321
(502) 777-3023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2182
KY
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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