IndividualActive
Glenda Stidham, IECE CERTIFIED
NPI 1598966459 · State or Local Public Health Clinic/Center · Manchester, KY
Provider details
- NPI number
- 1598966459
- Entity type
- Individual
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- IECE CERTIFIED
- Sex
- Female
- Sole proprietor
- Yes
- License
- 01984 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
57 Miller Rd
Manchester, KY 40962-5714
Phone: (606) 598-2815
Fax: (606) 598-0148
Approximate (ZIP-level) locationGet directions
Mailing address
57 Miller Rd
Manchester, KY 40962-5714
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.