Provider Demographics
NPI:1104930072
Name:HURST, BETSY KATHRYN (MS RD LD CDE)
Entity type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:KATHRYN
Last Name:HURST
Suffix:
Gender:F
Credentials:MS RD LD CDE
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:ORIOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-212-4625
Mailing Address - Fax:859-212-4638
Practice Address - Street 1:4900 HOUSTON RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4824
Practice Address - Country:US
Practice Address - Phone:859-212-4625
Practice Address - Fax:859-212-4638
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD. 5270133V00000X
IN37001463A133V00000X
KYKY-05-1861133V00000X
KY121400133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH375129OtherANTHEM OHIO
OH375129OtherANTHEM OHIO
OH9354141Medicare ID - Type UnspecifiedOHIO MEDICARE