| Organization Name: | UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC |
| NPI Number: | 1780983692 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERARD P RABALAIS (CHAIRMAN) |
| Mailing Address: | 811 E Parrish Ave Ste 120 Owensboro |
| State: | KY US |
| Postal Code: | 423033258 |
| Phone Number: | 5026298821 |
| Fax Number: | 5026298824 |
| NPI Enumeration Date: | 03/17/2011 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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 |