Individual
JENNIFER LYNN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
740 S LIMESTONE, RM J513, LEXINGTON, KY 40536-0284
(859) 323-3805
(859) 257-8258
Mailing address
740 S LIMESTONE, RM J513, LEXINGTON, KY 40536-0284
(859) 323-3805
(859) 257-8258
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1777
KY
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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