Donna Jo Mason, REGISTERED DIETITIAN

Individual provider Active NPI Registered Dietitian · Morganfield, KY

NPI 1821060906 · NPPES record last updated Nov 19, 2007

Key facts

NPI
1821060906
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
KY0537 (KY)
Practice address
218 W McElroy St
Morganfield, KY 42437-1447
Phone
(270) 389-1230
Fax
(270) 389-9031
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

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
KY0537KYMDRegistered Dietitian
0537KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X KY0537 KY Yes

Addresses

Primary practice location

218 W McElroy St
Morganfield, KY 42437-1447

Mailing address

PO Box 309
Owensboro, KY 42302-0309
Phone (270) 686-7747

Other providers in Morganfield, KY

All providers in Morganfield, KY · Registered Dietitian in Kentucky

Sources for this page

Verify at the official NPI Registry.