Provider Demographics
NPI:1952500704
Name:STONE, APRIL MICHELLE (RD, LD)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MICHELLE
Last Name:STONE
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:KY
Mailing Address - Zip Code:40336
Mailing Address - Country:US
Mailing Address - Phone:606-723-6629
Mailing Address - Fax:606-723-9726
Practice Address - Street 1:128 KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:KY
Practice Address - Zip Code:40336-1266
Practice Address - Country:US
Practice Address - Phone:606-723-6629
Practice Address - Fax:606-723-9726
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1416133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered