Individual
MRS. ROSE LYNN KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
2485 HIGHWAY 644, LOUISA, KY 41230-9242
(606) 638-7380
(606) 638-4855
Mailing address
1054 ROSE LN, LOUISA, KY 41230-9661
(606) 638-7380
(606) 638-9494
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
0832
KY
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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