Individual
STEPHEN DONITHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
664 SLATE AVE, OWINGSVILLE, KY 40360-2206
(859) 498-2135
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
273804
KY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/21/2020
Last updated
10/19/2021
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