Individual
MRS. IRINA DERKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2517 TINMOUTH VALE, LEXINGTON, KY 40509-4389
(859) 913-1082
Mailing address
2517 TINMOUTH VALE, LEXINGTON, KY 40509-4389
(859) 913-1082
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
01/04/2025
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