Stevens, Stacy

Stevens, Stacy is an individual health care provider with primary practice located at 12300 Metcalf Ave , Overland Park KS 66213-1324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stevens, Stacy can be contacted via phone (913) 317-7678.

Contact Information

Primary practice address
12300 Metcalf Ave Overland Park KS 66213-1324
Phone: (913) 317-7678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2005003652 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-31155 Kansas

Profile Details

NPI number 1407823461
LBN Legal business name Stevens, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 10th, 2019 - about 6 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 1407823461 NPPES
Kansas MEDICAID 200327540B
Kansas MEDICAID 200327540C
Kansas MEDICAID 207207606
Kansas Other 35279019
Kansas Other P00238174
Kansas Other P000218068
Kansas Other P00238173

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