KYSKIE BOLTON


Address: 17280 Highway 17, Lexington, MS 39095-6614
Phone: 6628341857

KYSKIE BOLTON (NPI# 1396987376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396987376
Entity Type Individual
Full Name KYSKIE BOLTON
Credential RD
Practice Address 17280 Highway 17
Lexington
MS 39095-6614
Practice Telephone 6628341857
Practice Fax Number 6628341859
Mailing Telephone 6628341857
Mailing Fax Number 6628341859
Enumeration Date 2009-04-06
Last Update Date 2009-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered D1245 MS Dietary & Nutritional Service Providers

Office Location

Street Address 17280 HIGHWAY 17
City LEXINGTON
State MS
Zip Code 39095-6614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851548135 Nadean Randle Social Worker 17280 Highway 17, Lexington, MS 39095-6614 2008-08-19
1093226763 Kathryn Conner Carroll Nurse Practitioner 17280 Highway 17, Lexington, MS 39095-6614 2017-10-20
1558872663 Sharon Mcmillin Nurse Practitioner 17280 Highway 17, Lexington, MS 39095-6614 2017-10-16
1639608813 Leondrea Deanna Collins Nurse Practitioner 17280 Highway 17, Lexington, MS 39095-6614 2017-06-09
1033643432 Melissa White Nurse Practitioner 17280 Highway 17, Lexington, MS 39095-6614 2017-04-12
1508312992 Mallory Community Health Clinic/Center 17280 Highway 17, Lexington, MS 39095-6614 2016-08-26
1437490109 Mallory Community Health Center Clinic/Center 17280 Highway 17, Lexington, MS 39095-6614 2013-03-06
1952630089 Clyde Rozell Chapman II Pediatrics 17280 Highway 17, Lexington, MS 39095-6614 2009-12-20
1710127782 Lindsay Taylor Dietitian, Registered 17280 Highway 17, Lexington, MS 39095-6614 2009-03-03
1831341734 Angelee B Mayo Dietitian, Registered 17280 Highway 17, Lexington, MS 39095-6614 2008-10-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295282358 Mallory Community Health Clinic/Center 9749 Brozville Road, Lexington, MS 39095 2016-09-07
1336596170 Telehealthone, LLC Nurse Practitioner 301 Yazoo Street, Lexington, MS 39095 2016-05-23
1740624881 Mallory Community Health Clinic/Center 300 Yazoo Street, Lexington, MS 39095 2013-04-19
1912245671 Ciera N Draine Social Worker Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 2013-01-30
1184933384 John D. Whitehead Durable Medical Equipment & Medical Supplies 22743 Hwy 12, Lexington, MS 39095 2010-10-05
1942536552 Durant Primary Care Clinic Clinic/Center 22741 Bowling Green Rd, Lexington, MS 39095 2009-11-02
1205082963 Heather Killebrew Tutor, Dmd, Pa Dentist 302 Court Square, Lexington, MS 39095 2008-08-13
1023145430 Charles D Howard Dentist 102 Wall St, Lexington, MS 39095 2007-02-27
1619069622 Charles Walton Campbell Family Medicine 102 Carrollton St, Lexington, MS 39095 2006-09-28
1972617876 Lexington Primary Care Clinic/Center 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 2006-08-18
Find all providers in zip 39095

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332074 Yolanda Letrice Jackson Dietitian, Registered 1024 Greendale Rd Unit 14103, Lexington, KY 40511-8350 2020-06-25
1669093282 Karen Kay Klefot Dietitian, Registered 1401 Harrodsburg Rd Ste A410, Lexington, KY 40504-3801 2020-05-05
1013543172 Kelly Blackburn Dietitian, Registered 711 Hambrick Ave, Lexington, KY 40508-2307 2020-03-19
1477102614 Candice Belle Tufano Dietitian, Registered 2184 Winterberry Dr Apt B, Lexington, KY 40504-3251 2019-09-10
1225694789 Ida Marie Ibarra Rodriguez Dietitian, Registered 2692 Braden Way, Lexington, KY 40509-8571 2019-05-10
1215591185 Erin Casey Dietitian, Registered 220 Strawberry Fields Rd, Lexington, KY 40516-9759 2019-04-26
1497220313 Todd Meek Dietitian, Registered 2681 Red Leaf Dr, Lexington, KY 40509-1742 2018-10-06
1114413184 Megan Medrano Dietitian, Registered 163 Old Todds Rd Ste 115, Lexington, KY 40509 2018-07-02
1447747282 Sarah Ann Czarnecki Dietitian, Registered 752 Clayvis Ct, Lexington, KY 40515-6328 2018-04-17
1215449178 University of Kentucky Dietitian, Registered 2195 Harrodsburg Road, Suite 125, Uk Healthcare At Turfland-barnstable Brown Diabetes Cen, Lexington, KY 40504-3504 2017-11-01
Find all providers in LEXINGTON

Competitor

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City LEXINGTON
Zip Code 39095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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