Stevens, Karen J

Stevens, Karen J is an individual health care provider with primary practice located at 7401 104Th Ave Suite 110, Kenosha WI 53142-7845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stevens, Karen J can be contacted via phone (262) 764-5595.

Contact Information

Primary practice address
7401 104Th Ave Suite 110 Kenosha WI 53142-7845
Phone: (262) 764-5595
Fax: (262) 764-9314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 697023 Wisconsin

Profile Details

NPI number 1750362208
LBN Legal business name Stevens, Karen J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jan 19th, 2017 - about 9 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 1750362208 NPPES
Wisconsin MEDICAID 42941600

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