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
Fax: (502) 863-6104
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235138348 NPPES
Kentucky MEDICAID 64017395

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