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Individual

MRS. EDITH ANN STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
H.I.S.

Contact information

Practice address
1001 W EVERLY BROTHERS BLVD, CENTRAL CITY, KY 42330-1819
(270) 754-2268
(270) 754-1468
Mailing address
1001 W EVERLY BROTHERS BLVD, CENTRAL CITY, KY 42330-1819
(270) 754-2268
(270) 754-1468

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0524
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0524
STATE LICENSE
KY
Enumeration date
07/26/2007
Last updated
07/26/2007
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