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Contact Information

JESSICA R STUMBO, MD
1230 MARKET ST
LA GRANGE, KY40031-7986
 Phone: 502-225-6900
 Fax: 502-666-7693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JESSICA R STUMBO · (Female)

NPI Number 1144434424
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2007
Last updated 03/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 39532
  • IN Medicaid 200910080
  • KY Medicaid 7100061440
Hospital affiliation(s)
  • BAPTIST HOSPITAL NORTHEAST - (Acute Care)
    1025 NEW MOODY LANE
    LA GRANGE, KY 40031
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
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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