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NPI Code Detail

MEDICARE: DEVIN HORTON RDN, LD

MEDICARE: DEVIN HORTON RDN, 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
1133V00000XRegistered Dietitian165479KY

General Provider Information

NPI Number : 1770023921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVIN HORTON RDN, LD
Provider Business Mailing Address
First Line : 85 N GRAND AVE
Second Line :
City : FORT THOMAS
State : KY
Zip : 41075-4027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 N GRAND AVE
Second Line :
City : FORT THOMAS
State : KY
Zip : 41075-4027
Country : US
Telephone Number : 859-301-8074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2017
Last Update Date : 03/01/2025

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Directions to “ DEVIN HORTON RDN, LD” Practice Location

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