Stevens, Paul Kenneth
Stevens, Paul Kenneth is an individual health care provider with primary practice located at 801 Pole Line Rd W Magic Valley Women'S Health Clinic, Twin Falls ID 83301-5810. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Stevens, Paul Kenneth can be contacted via phone (208) 814-8500.Contact Information
Primary practice address
801 Pole Line Rd W Magic Valley Women'S Health Clinic
Twin Falls ID 83301-5810
Phone: (208) 814-8500
Fax: (208) 814-8960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | O-0944 | Idaho |
Profile Details
| NPI number | 1376809202 |
|---|---|
| LBN Legal business name | Stevens, Paul Kenneth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2012 |
| Last updated | Jun 17th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376809202 | NPPES |
| Idaho | Other | 1376809202 | NPI |
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