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Tabitha Stidham
NPI 1841562584 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2531 Craft Colly Rd
Ermine, KY 41815 - Phone
- (606) 632-0108
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-26
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