Stephanie N. Southard, Psc

NPI #1629267315 in Monticello, Kentucky

Provider Information

NPI Number
1629267315
Entity Type
Organization
Organization Name
Stephanie N. Southard, Psc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 18, 2007
Last Updated
Jun 3, 2010

Practice Location

Address
1215 N MAIN ST
Address 2
SUITE 2
ZIP Code
42633-2900
Phone
(606) 340-8825

Authorized Official

Name
DR. STEPHANIE NICOLE SOUTHARD, D.O.
Title
PRESIDENT
Phone
(606) 340-8825

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Clinic/Center - Primary CarePrimary Care

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