Individual
NISSAN MICHELLE KASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4390 CLEARWATER WAY APT 101, LEXINGTON, KY 40515-6359
(304) 308-8850
Mailing address
4390 CLEARWATER WAY APT 101, LEXINGTON, KY 40515-6359
(304) 308-8850
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
278054
KY
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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