Individual
KARLA STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
152 W TIVERTON WAY STE 160, LEXINGTON, KY 40503-4437
(859) 402-2005
(859) 402-2005
Mailing address
152 W TIVERTON WAY STE 160, LEXINGTON, KY 40503-4437
(859) 402-2005
(859) 402-2005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40244
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40244
MEDICAL LICENSE
KY
Enumeration date
11/01/2006
Last updated
12/03/2020
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