Individual
MARISA JO MCLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
100 GLENNS CREEK RD, FRANKFORT, KY 40601-2473
(502) 564-9785
(502) 564-9640
Mailing address
100 GLENNS CREEK RD, FRANKFORT, KY 40601-2473
(502) 564-9785
(502) 564-9640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-05-1860
KY
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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