Individual
MICHELLE D STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5991
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
33945
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
33945
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200442300
—
IN
05
—
2215801
—
OH
05
—
64004849
—
KY
Enumeration date
12/21/2006
Last updated
04/24/2024
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