Individual
AMANDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-4321
Mailing address
8690 RED MILE TRL, APT J, FLORENCE, KY 41042-7343
(270) 348-6779
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1108516
—
133V00000X
Registered Dietitian
2459
KY
Other
Enumeration date
07/24/2013
Last updated
10/20/2020
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