Individual
JARA KING BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
989 MEDICAL PARK DR, MAYSVILLE, KY 41056-8750
(606) 759-3574
Mailing address
55 NEAVE RIDGE RD, BROOKSVILLE, KY 41004-7612
(606) 735-9290
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1498
KY
Other
Enumeration date
05/17/2006
Last updated
05/08/2024
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