Doctor Name: | REBECCA CALDWELL |
NPI Number: | 1780030007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 225318 |
Business Practice Address: | 225 Medical Center Dr Suite 304 Paducah, KY - 420037914 |
Business Phone Number: | 2702178282 |
Business Fax Number: | |
Mailing Address: | 985 Wilson Rd, WATER VALLEY |
State: | KY |
Postal Code: | 420859546 |
Phone Number: | 7313353555 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2016 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 225318 |
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 |