Individual
DR. SELINE T STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 GRADE LANE 123 MDS, TRICARE FAMILY PRACTICE, LOUISVILLE, KY 40213
(502) 364-9635
Mailing address
3603 DEER POND CV, PROSPECT, KY 40059-8042
(502) 292-2880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28963
KY
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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