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Contact Information

GLENDA S STIDHAM, IECE CERTIFIED
57 MILLER RD
MANCHESTER, KY40962-5714
 Phone: 606-598-2815
 Fax: 606-598-0148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
Indicates primary specialty

NPI Profile & details for GLENDA S STIDHAM · (Female)

NPI # 1598966459
Status Active
Credentials IECE CERTIFIED
Entity Individual
Enumeration date 05/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 01984
  • KY Other 01984 DEVELOPMENTAL INTERVENTIO
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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