Stephens, Grady J
Stephens, Grady J is an individual health care provider with primary practice located at 911 Bypass Rd Bldg A , Pikeville KY 41501-1689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stephens, Grady J can be contacted via phone (606) 430-2202.Contact Information
Primary practice address
911 Bypass Rd Bldg A
Pikeville KY 41501-1689
Phone: (606) 430-2202
Fax: (606) 218-7502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 27481 | Kentucky |
Profile Details
| NPI number | 1477624716 |
|---|---|
| LBN Legal business name | Stephens, Grady J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jun 7th, 2022 - about 2 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 | 1477624716 | NPPES |
| Kentucky | MEDICAID | 64274814 |
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