Individual
SCOTT MATTHEW STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 HARDIN LN, SUITE 10, SOMERSET, KY 42503-3818
(606) 679-9268
(606) 677-1020
Mailing address
110 HARDIN LN, SUITE 10, SOMERSET, KY 42503-3818
(606) 679-9268
(606) 677-1020
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
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