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Contact Information

KEVIN D STALLARD, OD
1303 SUITE 108 US 127 SOUTH
FRANKFORT, KY40601
 Phone: 502-875-3050
 Fax: 502-226-4261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEVIN D STALLARD · (Male)

NPI # 1770575805
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/16/2005
Last updated 02/19/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1349DT
  • KY Medicaid 77013498
  • KY Other 000000351950 ANTHEM BCBS
  • KY Other 1349DT OD LICENSE NUMBER
  • KY Other P00293402 RR MEDICARE
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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