Individual
DR. KEVIN EARL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3150 CUSTER DR, SUITE 201, LEXINGTON, KY 40517-4010
(859) 979-3590
Mailing address
3150 CUSTER DR, SUITE 201, LEXINGTON, KY 40517-4010
(859) 979-3590
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
130762
KY
103T00000X
Psychologist
1533
KY
Other
Enumeration date
07/21/2011
Last updated
01/19/2021
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