NPI 1225391113

Staci Bhalodi, PAC

Practitioner Physician Assistant Versailles, KY

Practice location

Address: 360 Amsden Ave STE 401, Versailles, KY 40383-1854
Phone: (859) 879-2384
Fax: (859) 879-2388

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2120 (KY)

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Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA2120 (KY)

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA2120 (KY)

Registry record

NPI: 1225391113
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2012
Record last updated: 13 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.