Individual
DR. STEFANIE DOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
360 KEEN STREET, BURKESVILLE, KY 42717-7915
(270) 864-2889
(270) 864-2229
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04010
KY
208M00000X
Hospitalist Physician
04010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14102106
CAQH
—
05
—
7100480790
—
KY
Enumeration date
06/05/2014
Last updated
05/12/2023
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