Organization
GEORGE STEGE
Active
Other names
HURSTBOURNE FAMILY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE STEGE MD (OWNER)
(502) 653-7643
Entity
Organization
Contact information
Practice address
2304 HURSTBOURNE VILLAGE DR STE 500, LOUISVILLE, KY 40299-1886
(502) 583-3189
(502) 581-1463
Mailing address
2304 HURSTBOURNE VILLAGE DR STE 500, LOUISVILLE, KY 40299-1886
(502) 583-3189
(502) 581-1463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20839
MEDICAL LICENSE
KY
01
—
K144380
MEDICARE
KY
Enumeration date
10/05/2020
Last updated
01/15/2021
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