Organization
ST LUKE PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SANCHEZ CPC (CODER)
(859) 261-3700
Entity
Organization
Contact information
Practice address
103 LANDMARK DR STE 360, BELLEVUE, KY 41073-1354
(859) 261-3700
(859) 261-9788
Mailing address
103 LANDMARK DR STE 360, BELLEVUE, KY 41073-1354
(859) 261-3700
(859) 261-9788
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65915621
—
KY
01
—
78901709
MEDICAID NP GROUP
KY
Enumeration date
06/23/2008
Last updated
06/23/2008
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