Provider Demographics
NPI:1912137902
Name:NEELEY, LINDSEY (RD,LD,LDN)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:
Last Name:NEELEY
Suffix:
Gender:F
Credentials:RD,LD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 TAYLOR SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1587
Mailing Address - Country:US
Mailing Address - Phone:502-458-4588
Mailing Address - Fax:502-458-4240
Practice Address - Street 1:3010 TAYLOR SPRINGS DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1587
Practice Address - Country:US
Practice Address - Phone:502-458-4588
Practice Address - Fax:502-458-4240
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered