Caudill, Stephanie

Caudill, Stephanie is an individual health care provider with primary practice located at 1145 W Lexington Ave Ste C , Winchester KY 40391-1290. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Caudill, Stephanie can be contacted via phone (859) 385-4093.

Contact Information

Primary practice address
1145 W Lexington Ave Ste C Winchester KY 40391-1290
Phone: (859) 385-4093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 3013678 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3013678 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3013678 Kentucky

Profile Details

NPI number 1104431543
LBN Legal business name Caudill, Stephanie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2020
Last updated Nov 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104431543 NPPES
Kentucky MEDICAID 7100703400

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