Stephanie Ann Millay

Individual provider Active NPI Community Health Worker · Whitesville, KY

NPI 1053709873 · NPPES record last updated Dec 31, 2014

Key facts

NPI
1053709873
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
KYA3029 (KY)
Practice address
7832 Haynes Station Rd
Whitesville, KY 42378-9758
Phone
(270) 929-1435
NPI assigned
Dec 31, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
KYA3029KYMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X KYA3029 KY Yes

Addresses

Primary practice location

7832 Haynes Station Rd
Whitesville, KY 42378-9758

Mailing address

7832 Haynes Station Rd
Whitesville, KY 42378-9758
Phone (270) 929-1435

Other providers in Whitesville, KY

All providers in Whitesville, KY · Community Health Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.