Doctor Name: | CAROLYN E HACKER |
NPI Number: | 1023151388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 05-1875 |
Business Practice Address: | 100 S Court St Manchester, KY - 409621295 |
Business Phone Number: | 6065982425 |
Business Fax Number: | 6065984448 |
Mailing Address: | Po Box 158, MANCHESTER |
State: | KY |
Postal Code: | 409620158 |
Phone Number: | 6065985564 |
Fax Number: | 6065986615 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 05-1875 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |