Individual
MRS. MARY ANN STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1301 CLEAR SPRINGS TRCE, LOUISVILLE, KY 40223-3855
(502) 365-4627
(502) 365-4629
Mailing address
1002 SPRINGSIDE WAY, LOUISVILLE, KY 40223-3786
(502) 939-4465
(502) 365-4629
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1340
KY
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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