Healthcare Provider Details

I. General information

NPI: 1831648112
Provider Name (Legal Business Name): COURTNEY L STENE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY L SNYDER PA-C

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11520 W 119TH ST
OVERLAND PARK KS
66213-2002
US

IV. Provider business mailing address

11520 W 119TH ST
OVERLAND PARK KS
66213-2002
US

V. Phone/Fax

Practice location:
  • Phone: 913-232-9372
  • Fax: 913-344-3665
Mailing address:
  • Phone: 913-232-9372
  • Fax: 913-344-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number15-01958
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: