Individual
MRS. MARY BETH MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD,LD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4094
Mailing address
823 IVA DEL CT, LAKESIDE PARK, KY 41017-1561
(859) 757-8496
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
718887
KY
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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