Stevens, Kenneth

Stevens, Kenneth is an individual health care provider with primary practice located at 3231 S Higuera St , San Luis Obispo CA 93401-6924. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Stevens, Kenneth can be contacted via phone (805) 540-3333.

Contact Information

Primary practice address
3231 S Higuera St San Luis Obispo CA 93401-6924
Phone: (805) 540-3333
Fax: (805) 540-3344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X A102905 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A102905 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A102905 California

Profile Details

NPI number 1184643629
LBN Legal business name Stevens, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 24th, 2018 - about 6 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 1184643629 NPPES
California Other 0A1029050 BLUE SHIELD PROVIDER NUMBER
California Other 9136184 BLUE SHIELD PROVIDER NUMBER
California Other A102905 BLUE SHIELD PROVIDER NUMBER

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