Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey E Brouk, RD, LD

Individual provider Registered Dietitian · NPI 1558511048

Stacey E Brouk, RD, LD is a Registered Dietitian in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2008
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

10007 Kennerly Rd Ste A
Saint Louis, MO 63128-2179
Phone: (314) 776-7112
Fax: (314) 776-7114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2008030030 (MO)

Record details

NPI number1558511048
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedSeptember 22, 2008
Last updated in NPPESOctober 4, 2012

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