Stevens, Keisha Consuella
Stevens, Keisha Consuella is an individual health care provider with primary practice located at 1901 Tate Springs Rd , Lynchburg VA 24501-1109. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Stevens, Keisha Consuella can be contacted via phone (434) 200-3000.Contact Information
Primary practice address
1901 Tate Springs Rd
Lynchburg VA 24501-1109
Phone: (434) 200-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101237387 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200500118 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 054038 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101237387 | Virginia |
Profile Details
| NPI number | 1336120864 |
|---|---|
| LBN Legal business name | Stevens, Keisha Consuella |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Apr 17th, 2024 - about 7 months 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 | 1336120864 | NPPES |
| South Carolina | MEDICAID | NC2234 | |
| South Carolina | MEDICAID | 1336120864 |
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