Provider Demographics
NPI:1194978197
Name:KIGHT, LEANN MARIE (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:LEANN
Middle Name:MARIE
Last Name:KIGHT
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 MCGHEE LN
Mailing Address - Street 2:
Mailing Address - City:WELLSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45692-9426
Mailing Address - Country:US
Mailing Address - Phone:740-688-9145
Mailing Address - Fax:
Practice Address - Street 1:243 MCGHEE LN
Practice Address - Street 2:
Practice Address - City:WELLSTON
Practice Address - State:OH
Practice Address - Zip Code:45692-9426
Practice Address - Country:US
Practice Address - Phone:740-688-9145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD5969133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered