Individual
MRS. CARA JANE O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
400 PROFESSIONAL AVE, WINCHESTER, KY 40391-1147
(859) 744-4482
(859) 744-0338
Mailing address
400 PROFESSIONAL AVE, WINCHESTER, KY 40391-1147
(859) 744-4482
(859) 744-0338
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
85007162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1889
KY DIETICIANS AND NUTRITIONISTS LICENSE
KY
01
—
85007162
NPI
KY
01
—
K099720
INDIVIDUAL PTAN (MEDICARE)
KY
Enumeration date
02/25/2010
Last updated
07/09/2014
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