Individual
MISS KATIE SUZANNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2250 LEESTOWN RD, 120 LD, LEXINGTON, KY 40511-1052
(859) 281-4949
Mailing address
2250 LEESTOWN RD, 120 LD, LEXINGTON, KY 40511-1052
(859) 281-4949
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2560
KY
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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