Individual
STACEY L. POEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1707 CEDAR GROVE RD, SUITE 20, SHEPHERDSVILLE, KY 40165-8572
(502) 215-2090
(502) 215-5095
Mailing address
PO BOX 950293, LOUISVILLE, KY 40295-0293
(888) 987-1875
(405) 609-1491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4197
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710089470
—
KY
Enumeration date
03/22/2007
Last updated
08/24/2016
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