Individual
STEPHANIE LYNN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39099
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
39099
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463756
—
OH
05
—
200835590
—
IN
05
—
64094832
—
KY
Enumeration date
05/15/2006
Last updated
11/17/2021
Update your record
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