Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENEEN KIMBERLY GAULT
ActiveNutrition, Education · LEBANON, TN
Registration Details
- NPI Number
- 1760976237
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2018 (7.8795417254724 yrs)
- Last Updated
- Jun 19, 2018
Practice Information
- Address
-
25 MORGAN LNLEBANON, TN, 370871580Browse TN providers · Browse ZIP 37087
- Phone
- 6158288501
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.