Individual
GLORIA V STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 W 16TH ST, SUITE A, HOPKINSVILLE, KY 42240-1903
(270) 707-7530
(270) 707-7532
Mailing address
315 W 16TH ST, SUITE A, HOPKINSVILLE, KY 42240-1903
(270) 707-7530
(270) 707-7532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40217
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391905
ANTHEM BCBS
KY
05
—
64118136
—
KY
01
—
P00383175
RAILROAD MEDICARE
—
Enumeration date
04/25/2006
Last updated
10/30/2007
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