Whalio Doctors

NPI 1285040386

Prescriptive Nutrition, LLC

Organisation Nutritionist Russellville, AR

Practice location

Address
3205 W Main St, Russellville, AR 72801-2301
Phone
(479) 651-8547

Authorised official

Name
Gina Anne Kersh
Title
Registered Dietitian, Nutritionist
Phone
(479) 651-8547

Registered specialties

Nutritionist Primary
Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 0449 (AR)

Registry record

NPI
1285040386
Entity type
Organization
NPI issued
9 Jul 2014
Record last updated
15 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.