Individual
MRS. SHARAI LYNN KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDR
Contact information
Practice address
2456 LANCASTER RD, RICHMOND, KY 40475-8809
(512) 755-3702
Mailing address
2456 LANCASTER RD, RICHMOND, KY 40475-8809
(512) 755-3702
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86116725
KY
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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