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Individual

STEPHEN S DRAPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 KEENE RD, SUITE 102, NICHOLASVILLE, KY 40356-7600
(859) 885-9402
(859) 887-1624
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(859) 885-9402
(859) 887-1624

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17955
KY
208D00000X
General Practice Physician
17955
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65928590
KY
Enumeration date
07/01/2005
Last updated
03/18/2015
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