Stevenson, Scott

Stevenson, Scott is an individual health care provider with primary practice located at 639 N Mulberry St , Elizabethtown KY 42701-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Stevenson, Scott can be contacted via phone (270) 737-4600.

Contact Information

Primary practice address
639 N Mulberry St Elizabethtown KY 42701-1931
Fax: (270) 737-1722
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X TP781 Kentucky

Profile Details

NPI number 1811992662
LBN Legal business name Stevenson, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 19th, 2008 - 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 1811992662 NPPES
Kentucky MEDICAID 64101108

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