Individual
DR. SCOTT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST, HX315D, LEXINGTON, KY 40536-0293
(859) 323-5069
Mailing address
800 ROSE ST, HX315D, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
28548
KY
2085R0202X
Diagnostic Radiology Physician
Primary
28548
KY
2085U0001X
Diagnostic Ultrasound Physician
28548
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6428548900
—
KY
Enumeration date
05/18/2006
Last updated
12/19/2012
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