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NPI Code Detail

MEDICARE: DARA J STEPP D.O.

MEDICARE: DARA J STEPP D.O.
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
1208M00000XHospitalist Physician1854TN
2207Q00000XFamily Medicine Physician02970KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102970OTHERKYMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31854OTHERTNMEDICAL LICENSE

General Provider Information

NPI Number : 1962420406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARA J STEPP D.O.
Provider Business Mailing Address
First Line : 793 EASTERN BYP
Second Line : SUITE 201
City : RICHMOND
State : KY
Zip : 40475-2422
Country : US
Telephone Number : 859-624-6560
Fax Number : 859-624-6569
Provider Business Practice Location Address
First Line : 2195 HARRODSBURG RD STE 125
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-323-6371
Fax Number : 859-257-3585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 06/07/2024

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