Stephanie Southard D.O.

NPI 1720148356 - Family Medicine - 207Q00000X

NPI Details
NPI 1720148356
Gender Female
Enumeration Date 12/12/2006
Last Updated 06/03/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
1215 N MAIN ST
SUITE 2
MONTICELLO KY, 42633-2900, US
Phone (606) 340-8825
Fax (606) 340-0097
Business Location
1215 N MAIN ST
SUITE 2
MONTICELLO KY, 42633-2900, US
Phone (606) 340-8825
Fax (606) 340-0097
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 02809
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According to our database, Stephanie Southard D.O. NPI is 1720148356, taxonomy code is 207Q00000X and license number is 02809, license state is located at Kentucky. Stephanie Southard D.O. physically located at 1215 N Main St, Monticello KY, 42633-2900. NPI Number Stephanie Southard D.O. has the Individual type.

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1720148356 NPI number is provided on an as is basis without warranty of any kind. 1720148356 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Southard D.O. are for informational purposes only.