Individual
CANDACE HOLLIEANNA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
3015 QUILLEN CHAPEL RD., CAMPTON, KY 41301
(606) 668-7494
Mailing address
2257 QUILLEN CHAPEL RD, CAMPTON, KY 41301-8354
(606) 422-9502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2172
KY
Other
Enumeration date
10/22/2010
Last updated
04/23/2018
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