Stephens, Natalie Graham

Stephens, Natalie Graham is an individual health care provider with primary practice located at 1000 Dupont Rd Suite A, Louisville KY 40207-4611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stephens, Natalie Graham can be contacted via phone (502) 899-6150.

Contact Information

Primary practice address
1000 Dupont Rd Suite A Louisville KY 40207-4611
Fax: (502) 891-6368
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33436 Kentucky

Profile Details

NPI number 1053309500
LBN Legal business name Stephens, Natalie Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Apr 11th, 2024 - about 2 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 1053309500 NPPES
Kentucky MEDICAID 64334360
Kentucky MEDICAID 200137320A

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