Individual
MICHELE MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2441 S HIGHWAY 27, SOMERSET, KY 42501-2935
(606) 677-4068
Mailing address
87 ENCLAVE DR., SOMERSET, KY 42503
(606) 202-2320
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
922938
SC
Other
Enumeration date
01/22/2008
Last updated
01/04/2018
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