Individual
LELIA ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
176 12TH ST, CLAY CITY, KY 40312-8981
(606) 663-9011
(606) 663-9012
Mailing address
626 DRY BRANCH RD, IRVINE, KY 40336-7592
(606) 663-9011
(606) 663-9012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1761
KY
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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