Individual
MS. MISTY CORDELL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
200 VETERANS DR, HAZARD, KY 41701-9484
(606) 043-5619
(606) 435-6204
Mailing address
200 VETERANS DR, HAZARD, KY 41701-9484
(606) 043-5619
(606) 435-6204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1403/CDR-890729
KY
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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