Individual
EMILIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
494 HUB BLVD APT 121, BOWLING GREEN, KY 42103-8922
(502) 523-6133
Mailing address
494 HUB BLVD APT 121, BOWLING GREEN, KY 42103-8922
(502) 523-6133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
171326
KY
Other
Enumeration date
12/16/2020
Last updated
12/05/2022
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