person
Mrs. Glenda Sue Stidham, IECECERTIFIED
State or Local Public Health Clinic/Center in Manchester, Kentucky
NPI 1598966459

Glenda Sue Stidham is a State or Local Public Health Clinic/Center based in Manchester, KY and is specialized in Public Health, State or Local. Glenda Sue Stidham practices in Manchester, KY and has the professional credentials of IECECERTIFIED. The NPI Number for Glenda Sue Stidham is 1598966459 and holds a License No. 01984 (Kentucky).

The current practice location address for Glenda Sue Stidham is 57 Miller Rd, Manchester, KY and can be reached out via phone at 606-598-2815 and via fax at 606-598-0148.

Location: 57 Miller Rd, Manchester, KY, 40962-5714
person
Provider Profile Details
NPI Number
1598966459
Provider Name
Glenda Sue Stidham
Credential
IECECERTIFIED
Provider Entity Type
Individual
Gender
Female
Address
57 Miller Rd, Manchester, KY, 40962-5714
Phone Number
606-598-2815
Fax Number
606-598-0148
Provider Enumeration Date
05/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01984 01 KY DEVELOPMENTAL INTERVENTIO
institution
Provider Business Practice Location Address Details
Address
57 Miller Rd
City
State
Zip
40962-5714
Phone Number
606-598-2815
Fax Number
606-598-0148
person
Provider Business Mailing Address Details
Address
57 Miller Rd
City
State
Zip
40962-5714
Phone Number
606-598-2815
Fax Number
606-598-0148
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Public Health, State or Local
Taxonomy
License No.
01984 (Kentucky)
Definition
Definition to come...
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