MEDICARE: VIRGINIA RICHARDS STOKES MD

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
1	207V00000X	Obstetrics & Gynecology Physician	22356	KY
2	207VM0101X	Maternal & Fetal Medicine Physician	22356	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5581	OTHER		MEDICAIRE GRP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1050496	OTHER	KY	PASSPORT

General Provider Information

NPI Number	:	1770576456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA RICHARDS STOKES MD

Provider Business Mailing Address
First Line	:	289 IRELAND AVE
Second Line	:	BUILDING 851
City	:	FORT KNOX
State	:	KY
Zip	:	40121-5111
Country	:	US
Telephone Number	:	502-624-9880
Fax Number	:	502-624-0481

Provider Business Practice Location Address
First Line	:	289 IRELAND AVE
Second Line	:	BUILDING 851
City	:	FORT KNOX
State	:	KY
Zip	:	40121-5111
Country	:	US
Telephone Number	:	502-624-9880
Fax Number	:	502-624-0481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	02/16/2016

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Directions to “ VIRGINIA RICHARDS STOKES MD” Practice Location

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