Individual
DR. TODD STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
405 NORTH MAIN STREET, BURKESVILLE, KY 42717
(270) 864-3465
(270) 864-3496
Mailing address
PO BOX 376, BURKESVILLE, KY 42717-0376
(270) 864-3465
(270) 864-3496
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5460
KY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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