Individual
LARRY STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
850 BYPASS RD, WINCHESTER, KY 40391-1033
(859) 953-1006
Mailing address
3313 LEXINGTON RD, WINCHESTER, KY 40391-9524
(859) 953-1006
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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