Individual
MS. RUBY LEE HICKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
3010 TAYLOR SPRINGS DR, LOUISVILLE, KY 40220-1506
(502) 458-4588
(502) 458-4240
Mailing address
1025 BELL DR, MADISONVILLE, KY 42431-2333
(270) 871-9650
(270) 825-3198
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-0519
KY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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