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NPI Code Detail

MEDICARE: KYRSTEN DELL STEVENSON-DYSART QMHS

MEDICARE:   KYRSTEN DELL STEVENSON-DYSART  QMHS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1225526452
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYRSTEN DELL STEVENSON-DYSART QMHS
Provider Business Mailing Address
First Line : 33 W 1ST ST STE 100
Second Line :
City : DAYTON
State : OH
Zip : 45402-1243
Country : US
Telephone Number : 937-293-1945
Fax Number : 937-293-8150
Provider Business Practice Location Address
First Line : 33 W 1ST ST STE 100
Second Line :
City : DAYTON
State : OH
Zip : 45402-1243
Country : US
Telephone Number : 937-293-1945
Fax Number : 937-293-8150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2018
Last Update Date : 04/24/2018

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Directions to “ KYRSTEN DELL STEVENSON-DYSART QMHS” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.