Individual
STEPHEN TREVOR BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1490 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2721
(606) 526-0433
(606) 526-0434
Mailing address
1470 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2721
(606) 526-0433
(606) 526-0434
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33339
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3809558
—
TN
05
—
64060148
—
KY
Enumeration date
09/15/2005
Last updated
10/28/2020
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