STEPHANIE N. SOUTHARD, PSC

NPI # 

Practice Address:

1215 N Main St , Suite 2

Monticello, KY, 42633-2900

Practice Phone:

606-340-8825

Practice Fax:

606-340-0097

License Number:

02809

License State:

KY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X