Stephenson, Kenneth A
Stephenson, Kenneth A is an individual health care provider with primary practice located at 301 Utica Ave , Lubbock TX 79416-3111. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stephenson, Kenneth A can be contacted via phone (806) 797-4985.Contact Information
Primary practice address
301 Utica Ave
Lubbock TX 79416-3111
Phone: (806) 797-4985
Fax: (806) 792-8588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | J0871 | Texas |
Profile Details
| NPI number | 1245234871 |
|---|---|
| LBN Legal business name | Stephenson, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Feb 10th, 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 | 1245234871 | NPPES |
| Texas | MEDICAID | 104069302 |
Popular Providers
-
Phan, Doanh K
3615 19Th St , Lubbock TX 79410-1203 -
Sutter, Thelma Wong
3615 19Th St , Lubbock TX 79410-1203 -
Wolcott, Roger James
5902 66Th St , Lubbock TX 79424-3048 -
Wilson, Joseph Nathan
301 Utica Ave , Lubbock TX 79416-3111 -
Way, Barbara Haight
4102 24Th St Ste 201, Lubbock TX 79410-1801 -
Wheeler, Clarence Joseph
1126 Slide Rd 4B, Lubbock TX 79416-5402 -
Shaver, William A
2405 Broadway St , Lubbock TX 79401-2918 -
Scioli, Mark W
4642 N Loop 289 Ste 101, Lubbock TX 79416-2422