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NPI Code Detail

MEDICARE: KATHRYN ANNE STEVENS MD

MEDICARE:   KATHRYN ANNE STEVENS  MD
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
1207V00000XObstetrics & Gynecology PhysicianME84285FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111131OTHERBCBS OF FL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104818111
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ANNE STEVENS MD
Provider Business Mailing Address
First Line : 1703 LEWIS TURNER BLVD
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-1221
Country : US
Telephone Number : 850-863-1000
Fax Number : 850-863-0800
Provider Business Practice Location Address
First Line : 1703 LEWIS TURNER BLVD
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-1221
Country : US
Telephone Number : 850-863-1000
Fax Number : 850-863-0800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 12/15/2009

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Directions to “ KATHRYN ANNE STEVENS MD” Practice Location

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