Individual
STEPHANIE THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2231 LOWER HUNTERS TRCE, LOUISVILLE, KY 40216-1358
(502) 719-0072
Mailing address
4611 BELLEVUE AVE, LOUISVILLE, KY 40215-2407
(502) 689-4832
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1137211
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1137211
KY
KY
Enumeration date
08/04/2022
Last updated
08/04/2022
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