Individual
NICHOLAS OTTO MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS, RD
Contact information
Practice address
245 FOUNTAIN CT, LEXINGTON, KY 40509-2792
(859) 323-6021
(859) 323-1670
Mailing address
245 FOUNTAIN CT, LEXINGTON, KY 40509-2792
(859) 323-6021
(859) 323-1670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
989683
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
FT665
KY
Other
Enumeration date
03/21/2018
Last updated
08/21/2023
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