MEDICARE: MS. BRITTANY COX RD, LD

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
1	133V00000X	Registered Dietitian	290309	KY

General Provider Information

NPI Number	:	1205694031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRITTANY COX RD, LD

Provider Business Mailing Address
First Line	:	1221 S BROADWAY
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-2771
Country	:	US
Telephone Number	:	859-258-6200
Fax Number	:	859-258-6203

Provider Business Practice Location Address
First Line	:	1221 S BROADWAY
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-2771
Country	:	US
Telephone Number	:	859-258-4032
Fax Number	:	859-258-4900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2024
Last Update Date	:	04/04/2024

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