Organization
RL NUTRITION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK R. LOUDERMELT RPH, RD, LD, CDE (OWNER/DIRECTOR)
(606) 258-2777
Entity
Organization
Contact information
Practice address
475 N HIGHWAY 25 W, SUITE 101, WILLIAMSBURG, KY 40769-1576
(606) 215-6352
(877) 792-5105
Mailing address
PO BOX 698, WILLIAMSBURG, KY 40769-0698
(606) 215-6352
(877) 792-5105
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
2083
KY
261QH0100X
Health Service Clinic/Center
2083
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11896924
CAQH
KY
Enumeration date
08/19/2008
Last updated
10/26/2010
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