King-Stevens, Holly

King-Stevens, Holly is an sole proprietor health care provider with primary practice located at 1121 Belleville Ave , Brewton AL 36426-1500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. King-Stevens, Holly can be contacted via phone (251) 809-3140.

Contact Information

Primary practice address
1121 Belleville Ave Brewton AL 36426-1500
Fax: (251) 809-3145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO.2366 Alabama

Profile Details

NPI number 1255865010
LBN Legal business name King-Stevens, Holly
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2017
Last updated Nov 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255865010 NPPES
Alabama Other 512-47757 BCBS OF AL
Alabama MEDICAID 256043 BCBS OF AL

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