Provider Demographics
NPI:1184868317
Name:VIRGINIA R STOKES, MD, PSC
Entity Type:Organization
Organization Name:VIRGINIA R STOKES, MD, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-551-2390
Mailing Address - Street 1:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:HARRODS CREEK
Mailing Address - State:KY
Mailing Address - Zip Code:40027-0232
Mailing Address - Country:US
Mailing Address - Phone:502-426-8077
Mailing Address - Fax:502-426-8076
Practice Address - Street 1:9720 PARK PLAZA AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2288
Practice Address - Country:US
Practice Address - Phone:502-426-8077
Practice Address - Fax:502-426-8076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY22356207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty