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NPI Code Detail

MEDICARE: ALLYSON STANDLEY

MEDICARE:   ALLYSON  STANDLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian3016KY
2133V00000XRegistered DietitianLD.11142OH

General Provider Information

NPI Number : 1194658989
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON STANDLEY
Provider Business Mailing Address
First Line : 7226 BERWOOD DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7226 BERWOOD DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2111
Country : US
Telephone Number : 513-212-5385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ ALLYSON STANDLEY ” Practice Location

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