Individual
DR. STEPHEN L HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 584-7525
(502) 589-0849
Mailing address
210 E GRAY ST, # 900, LOUISVILLE, KY 40202-3900
(502) 584-8002
(502) 589-0849
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22147
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049349
ANTHEM
KY
01
—
1049636
PASSPORT
KY
05
—
64221476
—
KY
Enumeration date
07/18/2006
Last updated
07/09/2007
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