Healthcare Provider Details

I. General information

NPI: 1861650699
Provider Name (Legal Business Name): STEVEN C APPLEGATE PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 MOUNT MERCY DR
PEWEE VALLEY KY
40056-8020
US

IV. Provider business mailing address

304 MOUNT MERCY DR
PEWEE VALLEY KY
40056-8020
US

V. Phone/Fax

Practice location:
  • Phone: 502-241-8611
  • Fax: 502-241-4175
Mailing address:
  • Phone: 502-241-8611
  • Fax: 502-241-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number22639
License Number StateKY

VIII. Authorized Official

Name: DR. STEVEN C APPLEGATE
Title or Position: INTERNAL MEDICINE
Credential:
Phone: 502-241-8611