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Individual

JOE CHISM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
249 BLUEBERRY LN, MOUNT STERLING, KY 40353-8109
(859) 404-7693
Mailing address
249 BLUEBERRY LN, MOUNT STERLING, KY 40353-8109
(859) 404-7693

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86171489
KY

Other

Enumeration date
01/24/2022
Last updated
01/24/2022
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