Stephens, Keona Lee

Stephens, Keona Lee is an individual health care provider with primary practice located at 825 Euclid Ave , Kansas City MO 64124-2323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stephens, Keona Lee can be contacted via phone (816) 474-4920.

Contact Information

Primary practice address
825 Euclid Ave Kansas City MO 64124-2323
Fax: (816) 474-4914
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2000146246 Missouri

Profile Details

NPI number 1194796003
LBN Legal business name Stephens, Keona Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 1st, 2011 - about 13 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 1194796003 NPPES
Missouri Other 2000146246 FNP LICENSE

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