Plant-Powered Kidneys INC.
Dietitian, Registered in Vine Grove, KY. Organization (NPI-2).
NPI number1982194684
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1982194684
- Entity type
- Organization (NPI-2)
- Legal business name
- Plant-Powered Kidneys INC.
- Organization subpart
- No
- Enumeration date
- May 17, 2018
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1082987 | – | Yes |
Other names
- Jen Hernandez Rd LLC (Former Legal Business Name)
Practice location
422 Cabernet DriveVine Grove, KY 40175-8407
Phone 575-209-4700 · Fax 575-404-7707
Mailing address
9900 Spectrum DriveAustin, TX 78717-4555
Phone 575-808-8844
Authorized official
Jennifer Hernandez
Owner
5202407552
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