Individual
SCOTT MATTHEW STEPHENS
Active
Individual
SCOTT MATTHEW STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29795
KENTUCKY LICENSE
KY
01
—
61,1355693
TAX ID
—
05
—
64297955
—
KY
Enumeration date
07/26/2006
Last updated
05/12/2011
Update your record
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