Individual
MISS COLLEEN ELIZABETH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
4182 WORTH AVE, COLUMBUS, OH 43219-1535
(614) 300-0116
(614) 455-9311
Mailing address
4182 WORTH AVE, COLUMBUS, OH 43219-1535
(614) 300-0116
(614) 455-9311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09516
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86175731
COMMISSION ON DIETETIC REGISTRATION ID
—
01
—
LD.09516
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
03/06/2022
Last updated
05/30/2025
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