Stevens, Kristin Leanne
Stevens, Kristin Leanne is an sole proprietor health care provider with primary practice located at 325 Old Pleasant Grove Rd , Mt Juliet TN 37122-4493. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Stevens, Kristin Leanne can be contacted via phone (629) 255-2263.Contact Information
Primary practice address
325 Old Pleasant Grove Rd
Mt Juliet TN 37122-4493
Phone: (629) 255-2263
Fax: (629) 255-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 60828 | Tennessee |
Profile Details
| NPI number | 1033598669 |
|---|---|
| LBN Legal business name | Stevens, Kristin Leanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2015 |
| Last updated | Jun 13th, 2022 - about 4 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 | 1033598669 | NPPES |
| Tennessee | MEDICAID | 60828 |
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