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Contact Information

TISH C MAVIGLIANO, R.D., L.D., CDE
6525 U S HIGHWAY 60 W
SUITE 100
PADUCAH, KY42001
 Phone: 270-217-9691
 Fax: 270-575-9515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for TISH C MAVIGLIANO · (Female)

NPI # 1356447502
Status Active
Credentials R.D., L.D., CDE
Entity Individual
Enumeration date 09/15/2006
Last updated 05/13/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1034
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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