Kip Horstmann, MS, LIC NUTRITIONIS

NPI #1912624297 in Eddyville, Kentucky

Provider Information

NPI Number: 1912624297
Entity Type: Individual
Name: Kip Horstmann, MS, LIC NUTRITIONIS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: MS, LIC NUTRITIONIS
Enumeration Date: Oct 26, 2022
Last Updated: Oct 26, 2022

Practice Location

Address: 620 BIRDIE BANNISTER ROAD
City: Eddyville
State: Kentucky
ZIP Code: 42038
Phone: (502) 444-5025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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