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Individual

DR. ASHLEY MARIE STIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 E CHESTNUT ST, SERVICE BUILDING, SUITE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.099486
OH
207R00000X
Internal Medicine Physician
Primary
47621
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100303630
KY
Enumeration date
05/26/2009
Last updated
12/02/2016
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