Meghan Josette Fraser, RD, LD

Individual provider Active NPI Registered Dietitian · Walton, KY

NPI 1770310328 · NPPES record last updated Sep 17, 2024

Key facts

NPI
1770310328
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86345055 (KY)
Practice address
137 Legends Way Apt 363
Walton, KY 41094-1194
Phone
(618) 292-9692
NPI assigned
Sep 17, 2024
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

State licenses

LicenseStateTypeSpecialty
86345055KYMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86345055 KY Yes

Addresses

Primary practice location

137 Legends Way Apt 363
Walton, KY 41094-1194

Mailing address

137 Legends Way Apt 363
Walton, KY 41094-1194

Other providers in Walton, KY

All providers in Walton, KY · Registered Dietitian in Kentucky

Sources for this page

Verify at the official NPI Registry.