Individual
MRS. MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3412 SCOTTISH TRCE, LEXINGTON, KY 40509-8550
(859) 619-7458
Mailing address
3412 SCOTTISH TRCE, LEXINGTON, KY 40509-8550
(859) 619-7458
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
960569
KY
Other
Enumeration date
01/26/2011
Last updated
08/28/2013
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