Healthcare Provider Details

I. General information

NPI: 1457323131
Provider Name (Legal Business Name): STEVEN H SUTTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 KY 59
VANCEBURG KY
41179-7647
US

IV. Provider business mailing address

PO BOX 550
VANCEBURG KY
41179-0550
US

V. Phone/Fax

Practice location:
  • Phone: 606-796-3029
  • Fax:
Mailing address:
  • Phone: 606-796-3029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number18006
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number60481
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: