Individual
MR. STEPHEN D DUKES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1008 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 338-9929
(270) 338-1756
Mailing address
1008 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 338-9929
(270) 338-1756
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1046590
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74007139
—
KY
Enumeration date
01/17/2006
Last updated
07/08/2007
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