Individual
KIP HORSTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LIC NUTRITIONIS
Contact information
Practice address
620 BIRDIE BANNISTER ROAD, EDDYVILLE, KY 42038
(502) 444-5025
Mailing address
5304 EMILY CT, BETTENDORF, IA 52722-2455
(502) 210-1785
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
275500
KY
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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