Organization
ADVANCED NUTRITION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER PARKE RD, LD (REGISTERED DIETITIAN)
(859) 582-9059
Entity
Organization
Contact information
Practice address
1095 FOUR MILE RD, RICHMOND, KY 40475-9260
(859) 582-9059
Mailing address
1095 FOUR MILE RD, RICHMOND, KY 40475-9260
(859) 582-9059
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY1533
KY
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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