NPI 1053847707

Rae Elizagaray, RD

Practitioner Registered Dietitian Covington, KY

Practice location

Address: 1500 James Simpson Jr Way, Covington, KY 41011-0801
Phone: (859) 655-8910
Fax: (859) 655-8911
Mailing address: PO Box 635283, Cincinnati, OH 45263-5283

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 122200 (KY)

Other Dietitian, Registered providers in Kentucky →

Registry record

NPI: 1053847707
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2017
Record last updated: 13 Sep 2018

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.