Individual
MRS. MEREDITH LYNN DEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, MS
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5176
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1542
KY
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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