Individual
RAYMONDA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1218 SOUTH BROADWAY, SUITE 310, LEXINGTON, KY 40504-2759
(859) 219-0542
(859) 219-9433
Mailing address
7725 WOODBRIDGE HILL LN, PROSPECT, KY 40059-8699
(502) 751-9214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33266
KY
2085R0202X
Diagnostic Radiology Physician
Primary
33266
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64027402
—
KY
Enumeration date
05/12/2006
Last updated
01/15/2013
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