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Stephanie Super

NPI 1417297805 · on the registry since 2013 · sole proprietor

Practice

Address
3124 Meadowview Ave
Bowling Green, KY 42101
Phone
(270) 668-7306

Additional practice sites

  • 372 Pascoe Blvd, Bowling Green, KY
  • 372 Pascoe Blvd, Bowling Green, KY

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky