Individual
KELLIE J STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-3500
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46586
KY
Other
Enumeration date
07/31/2009
Last updated
11/14/2016
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