Stevens, Kent A

Stevens, Kent A is an individual health care provider with primary practice located at 2435 W Belvedere Ave Suite 42, Baltimore MD 21215-5224. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stevens, Kent A can be contacted via phone (410) 601-5547.

Contact Information

Primary practice address
2435 W Belvedere Ave Suite 42 Baltimore MD 21215-5224
Phone: (410) 601-5547
Fax: (410) 601-5835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X D65426 Maryland
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D65426 Maryland
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X D65426 Maryland

Profile Details

NPI number 1568587293
LBN Legal business name Stevens, Kent A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated May 13th, 2008 - about 16 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 1568587293 NPPES
Maryland Other P00464112 MEDICARE R/R PROVIDER #
Maryland Other CC1923 MEDICARE R/R PROVIDER #

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