Individual
STEPHANIE DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 595-7744
(502) 595-7007
Mailing address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 238-9911
(502) 238-9912
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R0718
KY
207RN0300X
Nephrology Physician
01067545A
IN
207RN0300X
Nephrology Physician
Primary
40826
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100008510
—
KY
Enumeration date
07/07/2006
Last updated
09/08/2014
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