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Individual

MRS. HOLLY RUTH, R.D., L.D., ACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.N., L.D., ACE

Contact information

Practice address
4877 WATERSIDE DR, LEXINGTON, KY 40513-1477
(859) 296-1558
Mailing address
4877 WATERSIDE DR, LEXINGTON, KY 40513-1477
(859) 296-1558

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10595
KY

Other

Enumeration date
04/12/2016
Last updated
04/12/2016
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