Individual
SHAYNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2044 GEORGIAN WAY APT G55, LEXINGTON, KY 40504-3060
(859) 576-8675
Mailing address
2044 GEORGIAN WAY APT G55, LEXINGTON, KY 40504-3060
(859) 576-8675
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
282178
KY
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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