Individual
TODD EDWARD STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2244
(270) 415-7130
Mailing address
PO BOX 8317, PADUCAH, KY 42002-8317
(270) 575-2244
(270) 415-7130
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
31938
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31938
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64319387
—
KY
Enumeration date
01/24/2007
Last updated
12/09/2020
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