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Individual

KAY C STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
312 JASON DR, SUITE 9, RICHMOND, KY 40475-2785
(859) 626-9696
(859) 626-9662
Mailing address
PO BOX 35, RICHMOND, KY 40476-0035
(859) 626-9696
(859) 626-9662

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002572
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000325551
ANTHEM BCBS
KY
01
0007093299
AETNA
KY
05
78003183
KY
Enumeration date
09/12/2005
Last updated
01/20/2011
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