Individual
STEPHEN BENDER SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, SUITE 1004, LOUISVILLE, KY 40202
(502) 589-3173
(502) 589-6751
Mailing address
100 E LIBERTY ST STE 130, LOUISVILLE, KY 40202-1434
(502) 589-3173
(502) 589-6751
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01046196
IN
2086S0129X
Vascular Surgery Physician
Primary
24711
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389000A-KOHMG
—
IN
05
—
64247117
—
KY
Enumeration date
07/10/2006
Last updated
05/01/2025
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