Individual
DR. STEPHEN A EDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 KRESGE WAY, SUITE 203, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Mailing address
3950 KRESGE WAY, SUITE 203, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
38614
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50004756
PASSPORT
KY
05
—
64087752
—
KY
01
—
P00148914
RAILROAD MEDICARE
KY
Enumeration date
03/16/2006
Last updated
07/09/2007
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