Individual
STEPHANIE M BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9617
(606) 759-5331
Mailing address
1301 PRIMACY PARKWAY, MEMPHIS, TN 38119
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
01002205081
VA
207Q00000X
Family Medicine Physician
Primary
TP190
KY
207VX0000X
Obstetrics Physician
TP190
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521576648
—
VA
Enumeration date
03/21/2011
Last updated
11/30/2022
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