Organization
STIVERS & STIVERS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN STIVERS DPM (PRESIDENT)
(270) 444-9011
Entity
Organization
Contact information
Practice address
2000 KENTUCKY AVE, PADUCAH, KY 42003-3202
(270) 444-9011
(270) 444-9902
Mailing address
2000 KENTUCKY AVE, PADUCAH, KY 42003-3202
(270) 444-9011
(270) 444-9902
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
163
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204311
BLUECROSS BLUESHIELD ID
KY
Enumeration date
02/09/2007
Last updated
08/22/2020
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