Individual provider · NPI-1

Stacy Layne Adams, R.D.

Dietitian, Registered · Louisville, KY

NPI number1801999172
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1801999172
Entity type
Individual (NPI-1)
Name
Mrs. Stacy Layne Adams
Credential
R.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1103KYYes

Practice location

800 Zorn Ave
Louisville, KY 40206-1499

Phone 502-287-4109

Mailing address

800 Zorn Ave
Louisville, KY 40206-1499

Phone 502-287-4109

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