Individual
STACY DISNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2647 REGENCY RD STE 101, LEXINGTON, KY 40503-2964
(859) 277-4357
(859) 277-4457
Mailing address
783 CONCORD RD, RICHMOND, KY 40475-9248
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
08/23/2017
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