Stevenson, Kevin Lee

Stevenson, Kevin Lee is an individual health care provider with primary practice located at 121 N Crest Blvd , Macon GA 31210-1845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Stevenson, Kevin Lee can be contacted via phone (478) 841-9333.

Contact Information

Primary practice address
121 N Crest Blvd Macon GA 31210-1845
Phone: (478) 841-9333
Fax: (478) 272-3139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 052640 Georgia

Profile Details

NPI number 1821042946
LBN Legal business name Stevenson, Kevin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Mar 17th, 2018 - about 8 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 1821042946 NPPES
Minnesota MEDICAID 983195000
Minnesota MEDICAID 713638334E

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