Provider Demographics
NPI:1952645376
Name:RAMAGE, LINSEY (RD)
Entity Type:Individual
Prefix:
First Name:LINSEY
Middle Name:
Last Name:RAMAGE
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:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42241-0647
Mailing Address - Country:US
Mailing Address - Phone:270-887-4160
Mailing Address - Fax:270-886-6192
Practice Address - Street 1:1700 CANTON ST
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-1923
Practice Address - Country:US
Practice Address - Phone:270-887-4160
Practice Address - Fax:270-886-6192
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1056943133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered