Doctor Name: | BRENDA ELOUISE RICHARDSON |
NPI Number: | 1295955888 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | KY-1743 |
Business Practice Address: | 6060 E Greenbriar Rd W Pekin, IN - 471658205 |
Business Phone Number: | 8122761933 |
Business Fax Number: | 1866381609 |
Mailing Address: | 6060 E Greenbriar Rd W, PEKIN |
State: | IN |
Postal Code: | 471658205 |
Phone Number: | 8122761933 |
Fax Number: | 1866381609 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | KY-1743 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |