Stevens, Kathryn Anne
Stevens, Kathryn Anne is an sole proprietor health care provider with primary practice located at 1703 Lewis Turner Blvd , Fort Walton Beach FL 32547-1221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stevens, Kathryn Anne can be contacted via phone (850) 863-1000.Contact Information
Primary practice address
1703 Lewis Turner Blvd
Fort Walton Beach FL 32547-1221
Phone: (850) 863-1000
Fax: (850) 863-0800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME84285 | Florida |
Profile Details
| NPI number | 1104818111 |
|---|---|
| LBN Legal business name | Stevens, Kathryn Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Dec 15th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104818111 | NPPES |
| Other | 11131 | BCBS OF FL | |
| MEDICAID | 264593900 | BCBS OF FL |
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