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NPI Code Detail

MEDICARE: STEPHEN LEE KANSIER

MEDICARE:   STEPHEN LEE KANSIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner222242CA

General Provider Information

NPI Number : 1356552491
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN LEE KANSIER
Provider Business Mailing Address
First Line : 6017 SOUTHERNESS DR
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-7690
Country : US
Telephone Number : 916-985-2561
Fax Number : 916-351-3001
Provider Business Practice Location Address
First Line : 300 PRISON RD
Second Line :
City : REPRESA
State : CA
Zip : 95671-3001
Country : US
Telephone Number : 916-985-2561
Fax Number : 916-351-3001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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Directions to “ STEPHEN LEE KANSIER ” Practice Location

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