Stevens, Kenneth Troy
Stevens, Kenneth Troy is an individual health care provider with primary practice located at 815 N 6Th E , Mountain Home ID 83647-2207. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stevens, Kenneth Troy can be contacted via phone (208) 587-7949.Contact Information
Primary practice address
815 N 6Th E
Mountain Home ID 83647-2207
Phone: (208) 587-7949
Fax: (208) 587-2978
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D3697 | Idaho |
Profile Details
NPI number | 1114131315 |
---|---|
LBN Legal business name | Stevens, Kenneth Troy |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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