Stevens, Raymonda

Stevens, Raymonda is an individual health care provider with primary practice located at 1218 South Broadway Suite 310, Lexington KY 40504-2759. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Stevens, Raymonda can be contacted via phone (859) 219-0542.

Contact Information

Primary practice address
1218 South Broadway Suite 310 Lexington KY 40504-2759
Phone: (859) 219-0542
Fax: (859) 219-9433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33266 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 33266 Kentucky

Profile Details

NPI number 1063463529
LBN Legal business name Stevens, Raymonda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 15th, 2013 - about 11 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 1063463529 NPPES
Kentucky MEDICAID 64027402

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