| Doctor Name: | IVY LEE SHEEHAN |
| NPI Number: | 1083811194 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CDE |
| License Number: | KY-0425 |
| Business Practice Address: | 1500 James Simpson Jr Way Suite 301 Covington, KY - 410110801 |
| Business Phone Number: | 8596558910 |
| Business Fax Number: | 8596558911 |
| Mailing Address: | 2300 Chamber Center Dr, Suite 200 LAKESIDE PARK |
| State: | KY |
| Postal Code: | 410171673 |
| Phone Number: | 8593445555 |
| Fax Number: | 8596558911 |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 09/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | KY-0425 |
| 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 |