Individual provider · NPI-1

Emma Madison Aguayo, RDN

Dietitian, Registered · Louisville, KY

NPI number1427782812
StatusActive
Last updated in NPPESJul 12, 2022

Details

NPI
1427782812
Entity type
Individual (NPI-1)
Name
Emma Madison Aguayo
Credential
RDN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 12, 2022
Certification date
Jul 12, 2022
Last updated
Jul 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86152537–Yes

Practice location

11824 Ransum Dr
Louisville, KY 40243-2802

Phone 502-205-1114

Mailing address

14717 Oxford Hill Ct
Louisville, KY 40245-5737

Phone 502-552-3703

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