Individual
JILL ANN GISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
6811 STEEPRUN RD, LOUISVILLE, KY 40241-6508
(502) 303-0408
Mailing address
6811 STEEPRUN RD, LOUISVILLE, KY 40241-6508
(502) 303-4087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2255
KY
Other
Enumeration date
06/26/2012
Last updated
12/13/2012
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