Beth Ballard MS,RD,LD

NPI 1083873087 - Dietitian, Registered - 133VN1005X

NPI Details
NPI 1083873087
Gender Female
Enumeration Date 06/04/2008
Last Updated 06/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6400 DUTCHMANS PKWY
SUITE 250
LOUISVILLE KY, 40205-3340, US
Phone (502) 587-9660
Fax (502) 540-5615
Business Location
3075 N SAINT FRANCIS RD
LORETTO KY, 40037-8164, US
Phone (502) 507-5430
Fax (502) 540-5615
Toxanomy
Taxonomy Code 133VN1005X
License State Kentucky
License Number 0622
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According to our database, Beth Ballard MS,RD,LD NPI is 1083873087, taxonomy code is 133VN1005X and license number is 0622, license state is located at Kentucky. Beth Ballard MS,RD,LD physically located at 6400 Dutchmans Pkwy, Louisville KY, 40205-3340. NPI Number Beth Ballard MS,RD,LD has the Individual type.

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1083873087 NPI number is provided on an as is basis without warranty of any kind. 1083873087 is maintained by the National Plan & Provider Enumeration System. The contents of Beth Ballard MS,RD,LD are for informational purposes only.