Diane R Levine in Louisville - Dietitian, Registered

Diane R Levine - NPI 1104810282

Diane R Levine is a Dietitian, Registered in Louisville, Kentucky. Diane R Levine practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Diane R Levine is 1104810282. The last update date is 2016-02-01.

Diane R Levine's current location address is 4002 Kresge Way, Louisville, Kentucky. You can contact this provider via phone number 5028954263 and fax number 5028995488. The mailing address for Diane R Levine is 4002 Kresge Way, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane R Levine
Address 4002 Kresge Way, Louisville, Kentucky
Phone Number 5028954263
Fax Number 5028995488
Sole Proprietor N
Credentials RD, LD, CD

NPI Number Detail

NPI Number 1104810282
Provider Enumeration Date 2005-09-06
Last Updated Date 2016-02-01

Provider Mailing Address Detail

Address 4002 Kresge Way
City Louisville
State Kentucky (KY)
Post Code 402074661
Phone Number 5028954263
Fax Number 5028995488

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 635
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
255836 KY ANTHEM BC/BS PROVIDER NO.

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FAQs about Diane R Levine

Could you provide the complete physical address where Diane R Levine is located?

The Diane R Levine is situated at the following address: 4002 Kresge Way, Louisville, KY, 402074661.

What is Diane R Levine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Diane R Levine is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.

On what date did Diane R Levine receive its 1104810282 assignment from the Centers for Medicare & Medicaid Services?

The Diane R Levine was assigned its 1104810282 on 2005-09-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Diane R Levine most recently updated or refreshed?

The details pertaining to the Diane R Levine, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-02-01.

As of what date was the information regarding Diane R Levine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Diane R Levine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-01.

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