Individual
BETHANY BORDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4032
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4032
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2500
KY
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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