NPI 1467752436

Leslie Mason Clark, RDLD

Practitioner Registered Dietitian Henderson, KY

Practice location

Address: 472 Klutey Park Plaza Dr, Henderson, KY 42420-3348
Phone: (270) 826-3951
Mailing address: 1501 Breckenridge St, Owensboro, KY 42303-1054

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2278 (KY)

Other Dietitian, Registered providers in Kentucky →

Registry record

NPI: 1467752436
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2010
Record last updated: 25 Oct 2010

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.