Leslie Bobo-Kiesel, RDN
Individual provider Active NPI Registered Dietitian · Henderson, KY
NPI 1508527698 · NPPES record last updated Jan 1, 2022
Key facts
- NPI
- 1508527698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86068227
- Practice address
- 509 N Main St
Henderson, KY 42420-2962 - Phone
- (270) 577-6715
- NPI assigned
- Jan 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86068227 | Yes |
Addresses
Primary practice location
509 N Main St
Henderson, KY 42420-2962
Mailing address
509 N Main St
Henderson, KY 42420-2962
Other providers in Henderson, KY
- Harvey J Bennett
- Ann Marie Bercaw
- Sarah M Bickett
- Wayland G Blikken
- Danielle N Board
- Suzanne Michelle Bowling
- Abigail Thrasher Boyd
- Brad T Fulkerson, DMD,MSD,LLC
- Rebecca Lynn Braden
- Trudy Bramblett
All providers in Henderson, KY · Registered Dietitian in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.