Stidam, Alicia D

Stidam, Alicia D is an individual health care provider with primary practice located at 245 Flemingsburg Rd , Morehead KY 40351-1015. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stidam, Alicia D can be contacted via phone (606) 780-5500.

Contact Information

Primary practice address
245 Flemingsburg Rd Morehead KY 40351-1015
Phone: (606) 780-5500
Fax: (606) 783-7281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3015232 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015232 Kentucky

Profile Details

NPI number 1285231258
LBN Legal business name Stidam, Alicia D
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2020
Last updated Mar 18th, 2021 - about 3 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 1285231258 NPPES
Kentucky Other 3015232 KY MEDICAL LICENSE

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