Individual
STEPHEN P. ROYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 VILLAGE PKWY, NICHOLASVILLE, KY 40356-2327
(859) 887-2484
(859) 885-8448
Mailing address
110 VILLAGE PKWY, NICHOLASVILLE, KY 40356-2327
(859) 887-2484
(859) 885-8448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64190564
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/18/2006
Last updated
11/02/2007
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