Individual
ABIGAIL R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSO, LD
Contact information
Practice address
529 S JACKSON ST, LOUISVILLE, KY 40202-3229
(502) 377-7099
Mailing address
3909 GRAF DR, LOUISVILLE, KY 40220-2563
(937) 212-8328
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86072962
—
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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