Individual
DR. SHELBY L STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
360 KEEN ST, BURKESVILLE, KY 42717-7915
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10108
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14287667
CAQH
KY
Enumeration date
06/14/2018
Last updated
04/17/2024
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