Stakelin, Kristen R
Stakelin, Kristen R is an sole proprietor health care provider with primary practice located at 1138 Lexington Rd Ste 290, Georgetown KY 40324-9672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Stakelin, Kristen R can be contacted via phone (502) 863-0721.Contact Information
Primary practice address
1138 Lexington Rd Ste 290
Georgetown KY 40324-9672
Phone: (502) 863-0721
Fax: (502) 863-6104
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34091 | Kentucky |
Profile Details
NPI number | 1235138348 |
---|---|
LBN Legal business name | Stakelin, Kristen R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235138348 | NPPES |
Kentucky | MEDICAID | 64017395 |
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