Smith, Bonnie

Smith, Bonnie is an individual health care provider with primary practice located at 260 Hospital Dr , South Williamson KY 41503-4072. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Smith, Bonnie can be contacted via phone (606) 237-1700.

Contact Information

Primary practice address
260 Hospital Dr South Williamson KY 41503-4072
Fax: (606) 237-1701
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 0793 Kentucky
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 429673 Kentucky

Profile Details

NPI number 1134114002
LBN Legal business name Smith, Bonnie
Credentials LDLDMS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Oct 4th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134114002 NPPES
Kentucky Other 0793 DIETITIANS AND NUTRITIONI

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