Individual
JENNIFER WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 721-3918
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 721-3918
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
122907
KY
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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