Provider Demographics
NPI:1437274222
Name:HOWARD, DONA (RD)
Entity Type:Individual
Prefix:
First Name:DONA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 LOST LODGE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-6040
Mailing Address - Country:US
Mailing Address - Phone:606-219-0382
Mailing Address - Fax:606-561-6136
Practice Address - Street 1:3680 S HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-3016
Practice Address - Country:US
Practice Address - Phone:606-219-0382
Practice Address - Fax:606-561-6136
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY713533133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered