Provider Demographics
NPI:1780717470
Name:REES, DORIS M (RD)
Entity type:Individual
Prefix:MS
First Name:DORIS
Middle Name:M
Last Name:REES
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 1:374 RETRAC RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-4376
Mailing Address - Country:US
Mailing Address - Phone:859-252-7712
Mailing Address - Fax:
Practice Address - Street 1:1451 HARRODSBURG RD
Practice Address - Street 2:SUITED304
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3758
Practice Address - Country:US
Practice Address - Phone:859-977-4000
Practice Address - Fax:859-977-5100
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0284133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0726404Medicare ID - Type UnspecifiedPIN-MEDICARE