Stephens, Thad A
Stephens, Thad A is an individual health care provider with primary practice located at 930 Carondelet Dr Ste 200 , Kansas City MO 64114-4698. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Stephens, Thad A can be contacted via phone (816) 943-5690.Contact Information
Primary practice address
930 Carondelet Dr Ste 200
Kansas City MO 64114-4698
Phone: (816) 943-5690
Fax: (816) 943-3156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 102147 | Missouri |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 04-29528 | Kansas |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 102147 | Missouri |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 102147 | Missouri |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 04-29528 | Kansas |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD102147 | Missouri |
Profile Details
| NPI number | 1053310938 |
|---|---|
| LBN Legal business name | Stephens, Thad A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Feb 16th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053310938 | NPPES |
| Kansas | MEDICAID | 100174340H | |
| Kansas | MEDICAID | 100174340G |
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