Doctor Name: | MS. MARY A CHEATHAM |
NPI Number: | 1588825335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | KY-1119 |
Business Practice Address: | 3720 Raikes Hill Rd Elk Horn, KY - 427339717 |
Business Phone Number: | 2707890625 |
Business Fax Number: | |
Mailing Address: | 3720 Raikes Hill Rd, ELK HORN |
State: | KY |
Postal Code: | 427339717 |
Phone Number: | 2707890625 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 08/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | KY-1119 |
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 |