Individual
MR. THOMAS BRYANT STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
336 29TH ST STE 201, ASHLAND, KY 41101-1932
(606) 420-0140
(606) 420-0141
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-9565
(606) 408-6061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA801
KY
Other
Enumeration date
11/28/2007
Last updated
10/01/2021
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