Individual
ABIGAIL LEE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 IRON LOOP PATH, GEORGETOWN, KY 40324-8108
(606) 422-9887
Mailing address
2203 IRON LOOP PATH, GEORGETOWN, KY 40324-8108
(606) 422-9887
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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