Individual
MICHELLE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
209 PAULINE DR, BEREA, KY 40403-8889
(859) 986-1259
Mailing address
209 PAULINE DR, BEREA, KY 40403-8889
(859) 475-8345
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
163411
KY
133V00000X
Registered Dietitian
86020603
OH
Other
Enumeration date
10/13/2014
Last updated
10/11/2016
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