Individual
STEPHEN BASIL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 MEDICAL CIRCLE, MOREHEAD, KY 40351-1181
(606) 784-6641
(606) 780-2373
Mailing address
234 MEDICAL CIRCLE, MOREHEAD, KY 40351-1181
(606) 784-6641
(606) 783-7281
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26420
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000601375
ANTHEM - WS
KY
01
—
000023034T
HUMANA - WS
KY
01
—
00533088
MEDICARE - WS
KY
01
—
100706
SIHO - WS
KY
05
—
200941190
—
IN
01
—
3691818000
PASSPORT ADVTG - WS
KY
01
—
50021524
PASSPORT - WS
KY
05
—
64264203
—
KY
Enumeration date
05/03/2006
Last updated
07/22/2009
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