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Individual

STEPHANIE LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
214 W JOHN FITCH AVE, BARDSTOWN, KY 40004-1115
(502) 350-1314
(502) 350-1316
Mailing address
507 JOSEPH DR STE 4, HARRODSBURG, KY 40330-2119
(859) 734-2800
(859) 734-2805

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5504
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100432610
KY
Enumeration date
06/06/2016
Last updated
10/06/2022
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