Stevens, Kathryn Anne

Stevens, Kathryn Anne is an sole proprietor health care provider with primary practice located at 1703 Lewis Turner Blvd , Fort Walton Beach FL 32547-1221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stevens, Kathryn Anne can be contacted via phone (850) 863-1000.

Contact Information

Primary practice address
1703 Lewis Turner Blvd Fort Walton Beach FL 32547-1221
Fax: (850) 863-0800
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME84285 Florida

Profile Details

NPI number 1104818111
LBN Legal business name Stevens, Kathryn Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Dec 15th, 2009 - about 15 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 1104818111 NPPES
Other 11131 BCBS OF FL
MEDICAID 264593900 BCBS OF FL

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