Provider Demographics
NPI:1902352016
Name:MILKONTAP
Entity Type:Organization
Organization Name:MILKONTAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ERIN MARIE
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:SILLS
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:859-327-2549
Mailing Address - Street 1:449 MANITOBA LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-4828
Mailing Address - Country:US
Mailing Address - Phone:859-327-2549
Mailing Address - Fax:
Practice Address - Street 1:449 MANITOBA LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-4828
Practice Address - Country:US
Practice Address - Phone:859-327-2549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY123604133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty