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Individual

SCOTT KEVIL STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
950 HOSPITAL DRIVE, MADISONVILLE, KY 42431
(270) 824-2020
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1653
(270) 824-2020

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003920
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003920
KENTUCKY LICENSE NUMBER
KY
Enumeration date
07/30/2007
Last updated
07/30/2007
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