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General NPI Number Information
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NPI Number | 1184868317
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Entity Type | Organization
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Legal Business Name | VIRGINIA R STOKES, MD, PSC
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 05/01/2009
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Provider Practice Location Address
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Address Line | 9720 PARK PLAZA AVE SUITE 106
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City | LOUISVILLE
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State | KY
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Zip | 40241-2288
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Country | US
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Telephone | 502-426-8077
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Fax | 502-426-8076
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Provider Business Mailing Address
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Address Line | PO BOX 232
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City | HARRODS CREEK
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State | KY
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Zip | 40027-0232
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Country | US
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Telephone | 502-426-8077
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Fax | 502-426-8076
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. JOHN L STOKES
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Credential |
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Telephone | 502-551-2390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 22356
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License Number State | KY
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