| Doctor Name: | MRS. DIANE R LEVINE |
| NPI Number: | 1104810282 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LD, CDE |
| License Number: | 0635 |
| Business Practice Address: | 4002 Kresge Way Suite 124 Louisville, KY - 402074661 |
| Business Phone Number: | 5028954263 |
| Business Fax Number: | 5028995488 |
| Mailing Address: | Po Box 950248, LOUISVILLE |
| State: | KY |
| Postal Code: | 402950248 |
| Phone Number: | 5024895730 |
| Fax Number: | 5024895753 |
| NPI Enumeration Date: | 09/06/2005 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 0635 |
| 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 |