Individual provider · NPI-1

Bonnie Holt Logsdon, R.D., IBCLC

Dietitian, Registered · Louisville, KY

NPI number1912019472
StatusActive
Last updated in NPPESOct 16, 2026

Details

NPI
1912019472
Entity type
Individual (NPI-1)
Name
Bonnie Holt Logsdon
Credential
R.D., IBCLC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2006
Certification date
Oct 16, 2026
Last updated
Oct 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered276810KYYes
174N00000X Lactation Consultant, Non-RN––
174H00000X Health Educator––
174400000X Specialist––

Other names

  • Bonnie Elizabeth Holt (Former Name)

Practice location

6011 Brownsboro Park Blvd Ste D
Louisville, KY 40207-1292

Phone 270-202-9545

Mailing address

6011 Brownsboro Park Blvd Ste D
Louisville, KY 40207-1292

Phone 270-202-9545

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