Individual
LILLY DAWN WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 WOODWIND CT, MOUNT WASHINGTON, KY 40047-6881
(502) 558-7054
Mailing address
163 WOODWIND CT, MOUNT WASHINGTON, KY 40047-6881
(502) 558-7054
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
286886
KY
Other
Enumeration date
07/10/2023
Last updated
01/03/2024
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