IndividualActive
Michelle Gaynor
NPI 1215623632 · Nutritionist · Madisonville, KY
Provider details
- NPI number
- 1215623632
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1035 Bell Dr
Madisonville, KY 42431-2333
Phone: (270) 925-2695
Approximate (ZIP-level) locationGet directions
Mailing address
1035 Bell Dr
Madisonville, KY 42431-2333
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2023-04-18
- Certified
- 2023-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.