Individual
MR. STEFAN M ZAK REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 ROSE ST MN 150, LEXINGTON, KY 40506-0001
(859) 323-6161
Mailing address
200 LARUE APT 405, LEXINGTON, KY 40517-8315
(859) 707-0977
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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