Individual
JANE ELLEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
432 16TH ST, ASHLAND, KY 41101-7693
(606) 324-0128
Mailing address
593 TEAKWOOD DR, RACELAND, KY 41169-1171
(606) 831-8357
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1062
KY
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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