Carson, Stephanie Lynn

Carson, Stephanie Lynn is an individual health care provider with primary practice located at 1351 Newtown Pike , Lexington KY 40511-1275. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Carson, Stephanie Lynn can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
1351 Newtown Pike Lexington KY 40511-1275
Phone: (859) 253-1686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 281761 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 265832 Kentucky

Profile Details

NPI number 1598396798
LBN Legal business name Carson, Stephanie Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Dec 12th, 2022 - about 4 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 1598396798 NPPES
Kentucky MEDICAID 1790731081

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