Individual
KELLY JO STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 HECKS PLAZA DR, MOREHEAD, KY 40351-8423
(606) 462-1327
Mailing address
5380 US HIGHWAY 60 E, MOREHEAD, KY 40351-8621
(606) 748-6436
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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