Stephens, Cassandra

Stephens, Cassandra is an sole proprietor health care provider with primary practice located at 70 Ubermonkey Ln , Campbellsville KY 42718-5217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stephens, Cassandra can be contacted via phone (270) 465-0060.

Contact Information

Primary practice address
70 Ubermonkey Ln Campbellsville KY 42718-5217
Fax: (270) 465-0134
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31329 Kentucky

Profile Details

NPI number 1710983564
LBN Legal business name Stephens, Cassandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Aug 3rd, 2015 - 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 1710983564 NPPES
Kentucky MEDICAID 64032014

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