Individual
STEPHANIE ELAINE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2022 BATTERY PARK DR., GLENDALE, KY 42740
(270) 668-7016
Mailing address
200 MICHAEL LN, BRANDENBURG, KY 40108-8500
(270) 668-7016
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
1145253
KY
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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