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Individual

KATIE EILEEN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
4804 NOTTINGHAMSHIRE DR, LOUISVILLE, KY 40299-1033
(502) 767-2804
Mailing address
4804 NOTTINGHAMSHIRE DR, LOUISVILLE, KY 40299-1033
(502) 767-2804

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
122127
KY

Other

Enumeration date
02/28/2018
Last updated
02/28/2018
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