Individual
MS. LAURA ASHLEY DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 723-2115
Mailing address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 723-2115
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1039030
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039030
KY STATE LIC
KY
Enumeration date
11/03/2009
Last updated
11/03/2009
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