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General NPI Number Information
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NPI Number | 1528031044
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Entity Type | Individual
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Provider Name | MICHAEL F. STEPHENS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 250 PARK ST
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City | BOWLING GREEN
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State | KY
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Zip | 42102-9577
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Country | US
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Telephone | 270-745-1467
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Fax | 270-745-1156
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Provider Business Mailing Address
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Address Line | 1287 RIVER BEND RD
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City | SCOTTSVILLE
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State | KY
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Zip | 42164-9434
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Country | US
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Telephone | 270-303-1581
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19928
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License Number State | KY
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