Provider Demographics
NPI:1225830441
Name:BOND, LATANYA R (RD)
Entity type:Individual
Prefix:
First Name:LATANYA
Middle Name:R
Last Name:BOND
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6907 WALNUT FARM DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-3415
Mailing Address - Country:US
Mailing Address - Phone:502-554-4236
Mailing Address - Fax:
Practice Address - Street 1:6907 WALNUT FARM DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-3415
Practice Address - Country:US
Practice Address - Phone:502-554-4236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered