Individual
STACY LEIGH MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9617
(606) 759-5331
(606) 759-5363
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2229
KY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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