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Contact Information

STACI BHALODI, PA-C
360 AMSDEN AVE STE 401
VERSAILLES, KY40383-1854
 Phone: 859-879-2384
 Fax: 859-879-2388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACI BHALODI · (Female)

NPI # 1225391113
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/17/2012
Last updated 05/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # PA2120
  • KY Other PA2120 LICENSE
Hospital affiliation(s)
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
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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