Individual
MAKENZIE STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
98 FAIRFAX DR, HUNTINGTON, WV 25705-1330
(681) 203-6078
Mailing address
98 FAIRFAX DR, HUNTINGTON, WV 25705-1330
(681) 203-6078
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1895
WV
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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