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Contact Information

SELINE T STEPHEN, MD
1101 GRADE LANE 123 MDS
TRICARE FAMILY PRACTICE
LOUISVILLE, KY40213
 Phone: 502-364-9635
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SELINE T STEPHEN · (Female)

NPI # 1598878720
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 28963
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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