Individual
MR. STEPHEN SHAIN KITECK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 BOGLE ST, SOMERSET, KY 42503
(606) 677-0459
(606) 677-0459
Mailing address
600 BOGLE ST, SOMERSET, KY 42503
(606) 677-0459
(606) 677-0459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19491
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64194913
—
KY
Enumeration date
02/07/2006
Last updated
07/08/2007
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