Individual
KAILEE L LEVERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE, CD
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-4625
(859) 212-4638
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-4625
(859) 212-4638
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
288658
KY
133V00000X
Registered Dietitian
DI 60373150
WA
Other
Enumeration date
07/12/2013
Last updated
12/28/2023
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