Individual
AMY FENNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-1558
(270) 762-1825
Mailing address
204 EDGEWOOD DR, MURRAY, KY 42071-5663
(270) 436-2146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1291
KY
Other
Enumeration date
02/21/2007
Last updated
07/09/2007
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