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Mitchell Charles Watts, RD, LD

Dietitian, Registered in Lexington, KY. Individual provider (NPI-1).

NPI number1801533765
StatusActive
Last updated in NPPESMay 12, 2022

Details

NPI
1801533765
Entity type
Individual (NPI-1)
Name
Mitchell Charles Watts
Credential
RD, LD
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2022
Certification date
May 12, 2022
Last updated
May 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered265354KYYes
133V00000X Dietitian, RegisteredLD.09188OH

Practice location

3900 Crosby Dr Apt 727
Lexington, KY 40515-1886

Phone 859-512-2342

Mailing address

3900 Crosby Dr Apt 727
Lexington, KY 40515-1886

Phone 859-512-2342

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