Individual
DR. KEVIN E STIGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 KENTUCKY AVE., DOCTOR BLDG. 1 SUITE 201, PADUCAH, KY 42003-8469
(270) 538-9555
(270) 538-9554
Mailing address
PO BOX 8468, PADUCAH, KY 42002-8468
(270) 538-9555
(270) 538-9554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28665
KY
208600000X
Surgery Physician
Primary
28665
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65945503
—
KY
Enumeration date
06/22/2005
Last updated
04/04/2022
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