Individual
STEPHANIE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1212
Mailing address
6964 N JACKSON HWY, MAGNOLIA, KY 42757-7945
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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