Provider Demographics
NPI:1982888715
Name:BAUMGARDNER, BARBARA FELTON (MS RD LD CDE)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:FELTON
Last Name:BAUMGARDNER
Suffix:
Gender:F
Credentials:MS RD LD CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 HARRODSBURG RD
Mailing Address - Street 2:OUTREACH OFFICE
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3704
Mailing Address - Country:US
Mailing Address - Phone:859-313-4447
Mailing Address - Fax:
Practice Address - Street 1:1590 HARRODSBURG RD
Practice Address - Street 2:OUTREACH OFFICE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3704
Practice Address - Country:US
Practice Address - Phone:859-313-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0007133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered