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Leah Beth Gardner

Nutritionist in Carlisle, KY. Individual provider (NPI-1).

NPI number1033856497
StatusActive
Last updated in NPPESMay 17, 2022

Details

NPI
1033856497
Entity type
Individual (NPI-1)
Name
Leah Beth Gardner
Sex
Female
Sole proprietor
Yes
Enumeration date
May 17, 2022
Certification date
Apr 8, 2022
Last updated
May 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133N00000X Nutritionist––Yes

Practice location

555 Concord Rd
Carlisle, KY 40311-9401

Phone 859-405-5204

Mailing address

555 Concord Rd
Carlisle, KY 40311-9401

Phone 859-405-5204

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