Individual
MRS. TERESA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
145 NEWCOMB AVE., ROCKCASTLE HOSPITAL, MT VERNON, KY 40456
(606) 256-7718
Mailing address
59 STEPHENS RD., MT VERNON, KY 40456
(606) 256-9132
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY 0803
KY
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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