Individual
STEPHANIE ANN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 THOMAS MORE PKWY STE A, CRESTVIEW HILLS, KY 41017-3498
(859) 341-9588
(859) 341-0078
Mailing address
215 THOMAS MORE PKWY STE A, CRESTVIEW HILLS, KY 41017-3498
(859) 341-9588
(859) 341-0078
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36411
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
679302
MEDICARE PTAN
KY
Enumeration date
05/11/2006
Last updated
06/12/2013
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