Ishmael Worth Stevens JR. MD

NPI 1033205448 - Pediatrics - 208000000X

NPI Details
NPI 1033205448
Gender Male
Enumeration Date 10/04/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
700 13TH ST
ASHLAND KY, 41101, US
Phone (606) 329-0204
Fax (606) 324-7770
Business Location
700 13TH ST
ASHLAND KY, 41101, US
Phone (606) 329-0204
Fax (606) 324-7770
Toxanomy
Taxonomy Code 208000000X
License State Kentucky
License Number 35295
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According to our database, Ishmael Worth Stevens JR. MD NPI is 1033205448, taxonomy code is 208000000X and license number is 35295, license state is located at Kentucky. Ishmael Worth Stevens JR. MD physically located at 700 13th St, Ashland KY, 41101. NPI Number Ishmael Worth Stevens JR. MD has the Individual type.

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1033205448 NPI number is provided on an as is basis without warranty of any kind. 1033205448 is maintained by the National Plan & Provider Enumeration System. The contents of Ishmael Worth Stevens JR. MD are for informational purposes only.