Individual
KARLY BETH STOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3240 IRVIN COBB DR, PADUCAH, KY 42003-0337
(270) 443-9474
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-1235
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
264861
KY
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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