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Contact Information

STACEY L STIVERS, MD
3900 KRESGE WAY STE 46
LOUISVILLE, KY40207-4681
 Phone: 502-897-8245
 Fax: 502-259-5983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STACEY L STIVERS · (Female)

NPI # 1629506563
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2017
Last updated 06/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 1085748A
  • KY License # 59574
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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