Healthcare Provider Details

I. General information

NPI: 1952500704
Provider Name (Legal Business Name): APRIL MICHELLE STONE R.D., L.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 KENTUCKY AVE
IRVINE KY
40336-1266
US

IV. Provider business mailing address

128 KENTUCKY AVE
IRVINE KY
40336
US

V. Phone/Fax

Practice location:
  • Phone: 606-723-6629
  • Fax: 606-723-9726
Mailing address:
  • Phone: 606-723-6629
  • Fax: 606-723-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1416
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: