Search › Kentucky › 164W00000X
Derica Stake, LPN
NPI 1770242570 · on the registry since 2021 · sole proprietor
Practice
- Address
- 120 Bull String Ln
Greenup, KY 41144 - Phone
- (606) 922-8207
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky