Doctor Name: | MRS. CAROL MACE STAPLETON |
NPI Number: | 1013095439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. L.D. |
License Number: | KY-1546 |
Business Practice Address: | 630 James Trimble Blvd Paintsville, KY - 412401026 |
Business Phone Number: | 6067892590 |
Business Fax Number: | 6067898237 |
Mailing Address: | 247 E Dorton Blvd, STAFFORDSVILLE |
State: | KY |
Postal Code: | 412569038 |
Phone Number: | 6062796557 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | KY-1546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |