| Doctor Name: | JARA KING BAUER |
| NPI Number: | 1578515292 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DIETICIAN |
| License Number: | KY-1498 |
| Business Practice Address: | 1210 Ky Highway 36 E Cynthiana, KY - 410317490 |
| Business Phone Number: | 8592342300 |
| Business Fax Number: | |
| Mailing Address: | 55 Neave Ridge Rd, BROOKSVILLE |
| State: | KY |
| Postal Code: | 410047612 |
| Phone Number: | 6067359290 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2006 |
| 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-1498 |
| 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 |