Individual
KATHRYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
11810 OAK BAY DR, LOUISVILLE, KY 40245-6464
(502) 468-2499
Mailing address
11810 OAK BAY DR, LOUISVILLE, KY 40245-6464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1543
KY
Other
Enumeration date
01/01/2013
Last updated
01/01/2013
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