Stevens, Kelly

Stevens, Kelly is an individual health care provider with primary practice located at 2635 Lawndale Dr , Greensboro NC 27408-4802. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Stevens, Kelly can be contacted via phone (336) 867-4310.

Contact Information

Primary practice address
2635 Lawndale Dr Greensboro NC 27408-4802
Phone: (336) 867-4310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055.0031677 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 41208 Montana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3513 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-11495 North Carolina

Profile Details

NPI number 1104811959
LBN Legal business name Stevens, Kelly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 10th, 2024 - about 2 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 1104811959 NPPES
Florida MEDICAID 291575800

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