Doctor Name: | MISS BRENDA SUE DEBORD |
NPI Number: | 1386806107 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,R.D.,L.D.,C.D. |
License Number: | KY-0595 |
Business Practice Address: | 800 Zorn Ave Louisville, KY - 402061433 |
Business Phone Number: | 5022874513 |
Business Fax Number: | |
Mailing Address: | 7216 Hill Park Way, Apt. 256 LOUISVILLE |
State: | KY |
Postal Code: | 402207155 |
Phone Number: | 5024583510 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2008 |
NPI Last Update Date: | 07/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | KY-0595 |
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 |