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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

NPI Number 1598966459
Entity Organization
Organization subpart 1 Not specified
Enumeration date 05/29/2007
Last updated 07/08/2007 - About 19 years ago
Identifiers
KY License # 01984
KY Other 01984 DEVELOPMENTAL INTERVENTIO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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