Individual
OLIVIA STANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 COLONEL GLENN HWY, DAYTON, OH 45435-0001
(937) 775-3323
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(937) 775-3323
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R7202
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2023
Last updated
01/07/2026
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