Individual
DONNA D STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504
(859) 323-2181
Mailing address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 323-2181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R0888
KY
207R00000X
Internal Medicine Physician
Primary
40678
KY
208000000X
Pediatrics Physician
40678
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40678
MEDICAL LICENSE
KY
05
—
64120926
—
KY
01
—
R0888
RESIDENCY TRAINING LICENS
KY
Enumeration date
08/05/2006
Last updated
01/20/2020
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