Healthcare Provider Details

I. General information

NPI: 1215873070
Provider Name (Legal Business Name): KATHLEEN RENEE STEVENSON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 TRUXTUN AVE
BAKERSFIELD CA
93301-3703
US

IV. Provider business mailing address

2110 TRUXTUN AVE
BAKERSFIELD CA
93301-3703
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-7524
  • Fax: 661-327-8793
Mailing address:
  • Phone: 661-327-7524
  • Fax: 661-327-8793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number31780
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: