Individual
DR. WARREN GRADY STUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
566 HIGHWAY 899, HINDMAN, KY 41822
(606) 785-3164
(606) 785-0107
Mailing address
566 HIGHWAY 899, BOX 849, HINDMAN, KY 41822-9998
(606) 785-3164
(606) 785-0107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16312
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64162124
—
KY
05
—
64163124
—
KY
Enumeration date
02/21/2007
Last updated
03/02/2020
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