Stevens, Kathleen Marie

Stevens, Kathleen Marie is an individual health care provider with primary practice located at 289 Ireland Ave. Building 851, Fort Knox KY 40121-5111. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stevens, Kathleen Marie can be contacted via phone (502) 624-4031.

Contact Information

Primary practice address
289 Ireland Ave. Building 851 Fort Knox KY 40121-5111
Phone: (502) 624-4031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2403P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2403M Kentucky

Profile Details

NPI number 1912991969
LBN Legal business name Stevens, Kathleen Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Oct 29th, 2014 - about 10 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 1912991969 NPPES
Kentucky MEDICAID 78240306

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