Individual
MS. STACY LYNETTE CRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
108 12TH ST, FOOTHILLS HEALTH AND WELLNESS CENTER, CLAY CITY, KY 40312-8979
(606) 663-9011
(606) 663-9012
Mailing address
108 12TH ST, FOOTHILLS HEALTH AND WELLNESS CENTER, CLAY CITY, KY 40312-8979
(606) 663-9011
(606) 663-9012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1672
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20099016
—
KY
Enumeration date
01/31/2007
Last updated
02/29/2012
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