Individual
STEPHEN RYMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
PO BOX 12749, COVINGTON, KY 41012-0749
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1060361
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
040575
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537455
ANTHEM
—
05
—
0875174
—
OH
05
—
200878210
—
IN
05
—
74405754
—
KY
01
—
9130418
PHCS
—
Enumeration date
10/28/2005
Last updated
05/01/2008
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