Individual
MS. ANITA RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
(502) 361-2301
Mailing address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0232
KY
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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