Stephan, Kim E

Stephan, Kim E is an individual health care provider with primary practice located at 509 3Rd Ave Se , Pine City MN 55063-1508. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stephan, Kim E can be contacted via phone (651) 491-6508.

Contact Information

Primary practice address
509 3Rd Ave Se Pine City MN 55063-1508
Phone: (651) 491-6508
Fax: (320) 629-9983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305303 Minnesota

Profile Details

NPI number 1437930682
LBN Legal business name Stephan, Kim E
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2023
Last updated Oct 12th, 2023 - 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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