DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KYLEEANN SOPHIA STEVENS M.D.

MEDICARE: KYLEEANN SOPHIA STEVENS M.D.
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
12084F0202XForensic Psychiatry Physician58689MN
22084P0800XPsychiatry Physician58689MN

General Provider Information

NPI Number : 1427234475
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLEEANN SOPHIA STEVENS M.D.
Provider Business Mailing Address
First Line : 3200 LABORE RD STE 104
Second Line :
City : VADNAIS HEIGHTS
State : MN
Zip : 55110-5186
Country : US
Telephone Number : 651-539-7200
Fax Number :
Provider Business Practice Location Address
First Line : 400 4TH ST NW
Second Line :
City : FARIBAULT
State : MN
Zip : 55021-5089
Country : US
Telephone Number : 507-384-6830
Fax Number : 651-431-7757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2008
Last Update Date : 12/04/2025

Similar Medicare Providers

1619350006 — KATHERINE ROSE VAUGHAN DDS
Practice Location Address:
400 4TH ST NW
FARIBAULT, MN
55021-5089
Practice Phone: 507-384-6830
Practice Fax: 651-431-7757
1740694520 — DR. KATIE MARIE RIVAS DDS
Practice Location Address:
400 4TH ST NW
FARIBAULT, MN
55021-5089
Practice Phone: 507-384-6830
Practice Fax:
1225120991 — CAROL JOAN PEITZMAN APRN, CNS
Practice Location Address:
400 4TH ST NW
FARIBAULT, MN
55021-5089
Practice Phone: 507-384-6830
Practice Fax:
1700947173 — ABIGAIL HOLLEY HOUTS M.D.
Practice Location Address:
400 4TH ST NW
FARIBAULT, MN
55021-5089
Practice Phone: 507-384-6830
Practice Fax:
1518152172 — DR. FREDERICK WILLIAM HOUTS M.D., M.S.
Practice Location Address:
400 4TH ST NW
FARIBAULT, MN
55021-5089
Practice Phone: 507-384-6830
Practice Fax: 651-431-7757
1063760742 — MR. ERIK MICHAEL ADOLPHSON LICSW
Practice Location Address:
400 4TH ST NW
FARIBAULT, MN
55021-5089
Practice Phone: 507-384-6830
Practice Fax:

Directions to “ KYLEEANN SOPHIA STEVENS M.D.” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.