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NPI Code Detail

MEDICARE: DON R STEPHENS MD PSC

MEDICARE: DON R STEPHENS MD PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician13035KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003803883
Entity Type Code : Organization
Provider Name (Legal Business Name) : DON R STEPHENS MD PSC
Provider Business Mailing Address
First Line : 439 E PLEASANT STREET
Second Line :
City : CYNTHIANA
State : KY
Zip : 41031
Country : US
Telephone Number : 859-234-4494
Fax Number : 859-234-4483
Provider Business Practice Location Address
First Line : 439 E PLEASANT STREET
Second Line :
City : CYNTHIANA
State : KY
Zip : 41031
Country : US
Telephone Number : 859-234-4494
Fax Number : 859-234-4483
Authorized Official
Title or Position : PHYSICIAN
Name : DR. DON R STEPHENS
Credential : MD
Telephone Number : 859-234-4494
Provider Enumeration Date : 10/05/2005
Last Update Date : 10/15/2007

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