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Individual

STEVEN CLEVENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 22ND ST, ASHLAND, KY 41101-7803
(606) 329-8588
(606) 329-8195
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1076189
KY

Other

Enumeration date
10/06/2016
Last updated
10/06/2016
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