Stevenson, Kurt B

Stevenson, Kurt B is an sole proprietor health care provider with primary practice located at 500 W. Fort St. # 111, Boise ID 83702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Stevenson, Kurt B can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W. Fort St. # 111 Boise ID 83702
Fax: (208) 422-1319
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35086654 Ohio

Profile Details

NPI number 1669482329
LBN Legal business name Stevenson, Kurt B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Mar 4th, 2022 - about 3 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 1669482329 NPPES
Ohio MEDICAID 2584350

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