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Contact Information

STACI M TROFIMOV, MS, RD
13008 WILLOW FOREST DRIVE
LOUISVILLE, KY40245
 Phone: 903-742-5916
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for STACI M TROFIMOV · (Female)

NPI Number 1952830135
Status Active
Credentials MS, RD
Entity Individual
Enumeration date 06/09/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 173141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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