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Contact Information

SUSAN E WILSON, RDN, LDN
411 E. CHESTNUT ST.
LOUISVILLE, KY40202
 Phone: 502-558-2330
 Fax: 502-588-9513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SUSAN E WILSON · (Female)

NPI # 1497292759
Status Active
Credentials RDN, LDN
Entity Individual
Enumeration date 01/25/2017
Last updated 10/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 168756
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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