Individual
BETHANY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 523-4842
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 523-4842
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002090A
IN
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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