Provider Demographics
NPI:1780605592
Name:STIGERS, KIMBERLY B (MD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:B
Last Name:STIGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1218 S BROADWAY STE 310
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2759
Mailing Address - Country:US
Mailing Address - Phone:859-219-9263
Mailing Address - Fax:859-219-9433
Practice Address - Street 1:160 N EAGLE CREEK DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2121
Practice Address - Country:US
Practice Address - Phone:859-967-5613
Practice Address - Fax:859-967-5617
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY259672085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64259674Medicaid
KY0712701Medicare ID - Type Unspecified
KY64259674Medicaid