Individual
KATIE ELIZABETH GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
201 POAT LN, PADUCAH, KY 42003-9625
(270) 994-6704
Mailing address
201 POAT LN, PADUCAH, KY 42003-9625
(270) 994-6704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
267312
KY
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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