Stacey Stokes Roussell M.D.

NPI 1770629099 - Pediatrics - 2080A0000X

NPI Details
NPI 1770629099
Gender Female
Enumeration Date 01/30/2007
Last Updated 11/10/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4010 DUPONT CIR
SUITE 283
LOUISVILLE KY, 40207-4812, US
Phone (502) 897-1727
Fax (502) 895-0827
Business Location
PO BOX 950202
LOUISVILLE KY, 40295-0202, US
Phone (502) 897-1727
Fax (502) 895-0827
Toxanomy
Taxonomy Code 2080A0000X
License State Kentucky
License Number 35005
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According to our database, Stacey Stokes Roussell M.D. NPI is 1770629099, taxonomy code is 2080A0000X and license number is 35005, license state is located at Kentucky. Stacey Stokes Roussell M.D. physically located at 4010 Dupont Cir, Louisville KY, 40207-4812. NPI Number Stacey Stokes Roussell M.D. has the Individual type.

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1770629099 NPI number is provided on an as is basis without warranty of any kind. 1770629099 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Stokes Roussell M.D. are for informational purposes only.