STACY BOULTON

FLORENCE, KY
NPI1447216023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: KY  40489)
Additional Taxonomies207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: OH  35084722)
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: OH  35084722)
Enumeration Date2006-04-24
Last Update Date2007-11-26
Business Address
Dr. STACY BOULTON MD
6907 BURLINGTON PIKE
FLORENCE, KY 41042-1618
Phone number: 859-525-1846
Mailing Address
Dr. STACY BOULTON MD
6907 BURLINGTON PIKE
FLORENCE, KY 41042-1618
Phone number: 859-525-1846