Provider Demographics
NPI:1699073338
Name:WAITS, EMILY ANN (RD, LD)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ANN
Last Name:WAITS
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 1:615 11TH STREET
Mailing Address - Street 2:SHELBY COUNTY HEALTH DEPT.
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065
Mailing Address - Country:US
Mailing Address - Phone:202-633-1231
Mailing Address - Fax:
Practice Address - Street 1:615 11TH STREET
Practice Address - Street 2:SHELBY COUNTY HEALTH DEPT.
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065
Practice Address - Country:US
Practice Address - Phone:502-633-1231
Practice Address - Fax:202-633-7814
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2327133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered