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General NPI Number Information
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NPI Number | 1447817705
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Entity Type | Individual
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Provider Name | KAITLYN ANN STEVENS DO
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Gender | Female
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 10455 ORTHOPAEDIC DR
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City | NEWBURGH
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State | IN
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Zip | 47630-7955
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Country | US
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Telephone | 812-424-9291
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Fax | 812-421-2722
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Provider Business Mailing Address
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Address Line | PO BOX 328
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City | EVANSVILLE
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State | IN
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Zip | 47702-0328
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Country | US
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Telephone | 812-424-9291
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Fax | 812-421-2722
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 06176
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 02008629A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 02008629A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 06176
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 5151013581
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License Number State | MI
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