Doctor Name: | REGINA A STEVENS |
NPI Number: | 1114249455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1726 |
Business Practice Address: | 199 Adams Street Liberty, KY - 42539 |
Business Phone Number: | 6066784761 |
Business Fax Number: | 6066769671 |
Mailing Address: | 500 Bourne Ave, SOMERSET |
State: | KY |
Postal Code: | 425011916 |
Phone Number: | 6066784761 |
Fax Number: | 6066769671 |
NPI Enumeration Date: | 02/26/2010 |
NPI Last Update Date: | 04/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1726 |
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 |