Provider Demographics
NPI:1558343392
Name:SENTER, STEPHEN K (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:K
Last Name:SENTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:26 3RD ST
Mailing Address - City:BELMONT
Mailing Address - State:MS
Mailing Address - Zip Code:38827-0549
Mailing Address - Country:US
Mailing Address - Phone:662-454-7170
Mailing Address - Fax:662-454-7177
Practice Address - Street 1:26 3RD ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MS
Practice Address - Zip Code:38827-7737
Practice Address - Country:US
Practice Address - Phone:662-454-7170
Practice Address - Fax:662-454-7177
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2009-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS202843240207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC72791Medicare UPIN