Kiai, Stephen M
Kiai, Stephen M is an individual health care provider with primary practice located at 610 N Michigan St Ste 400 , South Bend IN 46601-1081. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kiai, Stephen M can be contacted via phone (574) 647-8120.Contact Information
Primary practice address
610 N Michigan St Ste 400
South Bend IN 46601-1081
Phone: (574) 647-8120
Fax: (574) 647-8111
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Critical Care Medicine | 163WC0200X | 28157595A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71014525A | Indiana |
Profile Details
NPI number | 1518749290 |
---|---|
LBN Legal business name | Kiai, Stephen M |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2023 |
Last updated | Feb 6th, 2024 - about last year |
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 | 1518749290 | NPPES |
Indiana | MEDICAID | 300085229 |
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