Provider Demographics
NPI:1134328701
Name:CAUDILL, MEGAN SEXTON (RDN, CDCES)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:SEXTON
Last Name:CAUDILL
Suffix:
Gender:F
Credentials:RDN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 RANCH CT
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-5805
Mailing Address - Country:US
Mailing Address - Phone:606-939-0346
Mailing Address - Fax:907-313-1400
Practice Address - Street 1:2800 RANCH CT
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102-5805
Practice Address - Country:US
Practice Address - Phone:606-939-0346
Practice Address - Fax:907-313-1400
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32100726207RE0101X
WV642133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism