Healthcare Provider Details

I. General information

NPI: 1770576456
Provider Name (Legal Business Name): VIRGINIA RICHARDS STOKES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 IRELAND AVE BUILDING 851
FORT KNOX KY
40121-5111
US

IV. Provider business mailing address

289 IRELAND AVE BUILDING 851
FORT KNOX KY
40121-5111
US

V. Phone/Fax

Practice location:
  • Phone: 502-624-9880
  • Fax: 502-624-0481
Mailing address:
  • Phone: 502-624-9880
  • Fax: 502-624-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number22356
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number22356
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: