Individual
ANNE C STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1207 WOODLAND DR, ELIZABETHTOWN, KY 42701-2709
(270) 765-2107
(270) 769-9642
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 969-6552
(502) 969-3799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39461
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379500
ANTHEM - NCMA
—
01
—
068871
SIHO - NCMA
—
01
—
2633023000
PAD - NCMA
—
01
—
50007871
PASSPORT - NCMA
—
05
—
64105398
—
KY
Enumeration date
09/29/2005
Last updated
03/27/2008
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