Provider Demographics
NPI:1144760653
Name:RICH, WHITNEY (RD, CSP, LD, CLC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:RICH
Suffix:
Gender:F
Credentials:RD, CSP, LD, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10826 ARCARO LN
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-9201
Mailing Address - Country:US
Mailing Address - Phone:859-992-0515
Mailing Address - Fax:
Practice Address - Street 1:9920 BERBERICH DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-3275
Practice Address - Country:US
Practice Address - Phone:859-992-0515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY121399133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric